| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
878 |
747 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$425.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
24 |
$19.22 |
| 81003 |
|
54 |
42 |
$12.50 |
| 99173 |
|
81 |
70 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1170F |
|
81 |
70 |
$0.00 |
| 92551 |
|
81 |
70 |
$0.00 |
| 90656 |
|
23 |
20 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
20 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |