| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
454 |
399 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$916.59 |
| 90686 |
|
34 |
34 |
$502.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$161.60 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$77.96 |
| 81000 |
|
12 |
12 |
$40.56 |