| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,018 |
980 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
816 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
399 |
388 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
56 |
56 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
77 |
75 |
$0.00 |
| 1124F |
|
152 |
146 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
12 |
$0.00 |