| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,460 |
2,899 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,261 |
2,465 |
$123K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
117 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
112 |
$2K |
| 90756 |
|
93 |
83 |
$1K |
| 90688 |
|
110 |
97 |
$1K |
| 0012A |
|
17 |
15 |
$373.20 |
| 90674 |
|
32 |
28 |
$367.95 |
| G0008 |
Administration of influenza virus vaccine |
27 |
17 |
$13.32 |