| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,833 |
9,040 |
$1.09M |
| 99215 |
Prolong outpt/office vis |
1,709 |
1,566 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,033 |
841 |
$72K |
| 99403 |
|
864 |
838 |
$65K |
| 99402 |
|
41 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90686 |
|
64 |
64 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$826.62 |
| 90662 |
|
30 |
30 |
$249.03 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$34.50 |