| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,494 |
3,184 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,225 |
4,205 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,465 |
970 |
$37K |
| 99406 |
|
1,135 |
1,057 |
$11K |
| 99215 |
Prolong outpt/office vis |
59 |
44 |
$5K |
| 80305 |
|
296 |
247 |
$2K |
| 90756 |
|
64 |
64 |
$2K |
| 90674 |
|
26 |
26 |
$450.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$431.63 |
| 96160 |
|
16 |
16 |
$33.12 |
| 3077F |
|
40 |
32 |
$0.00 |
| 3078F |
|
92 |
71 |
$0.00 |
| 1160F |
|
468 |
329 |
$0.00 |
| 1159F |
|
468 |
329 |
$0.00 |
| 3074F |
|
98 |
74 |
$0.00 |
| 3079F |
|
41 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 1125F |
|
36 |
31 |
$0.00 |