| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,055 |
1,940 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
298 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$633.60 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$410.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$276.00 |
| 3288F |
|
244 |
239 |
$0.01 |
| 3725F |
|
77 |
77 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |