| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,935 |
1,544 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,462 |
$72K |
| 99215 |
Prolong outpt/office vis |
122 |
104 |
$9K |
| 81002 |
|
97 |
92 |
$260.48 |
| 93000 |
|
48 |
29 |
$127.41 |
| 90686 |
|
18 |
15 |
$72.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$15.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$11.55 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |