| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,363 |
3,992 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,810 |
4,990 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
547 |
497 |
$256.31 |
| 90756 |
|
639 |
637 |
$65.66 |
| 82948 |
|
3,361 |
2,733 |
$32.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
777 |
746 |
$16.44 |
| 82962 |
|
728 |
651 |
$1.89 |
| G0008 |
Administration of influenza virus vaccine |
53 |
53 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90658 |
|
88 |
88 |
$0.00 |
| 90661 |
|
19 |
19 |
$0.00 |