| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,471 |
8,406 |
$926K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,799 |
7,060 |
$542K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
258 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
171 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
99 |
$750.25 |
| 90686 |
|
101 |
101 |
$79.27 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |