| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
1,021 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,101 |
990 |
$16K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$1K |
| 99490 |
Ccm add 20min |
61 |
61 |
$791.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$400.00 |
| 36410 |
|
54 |
53 |
$103.13 |
| 90662 |
|
17 |
17 |
$78.40 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$35.02 |