| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
584 |
533 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
91 |
$2K |
| 96127 |
|
357 |
344 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
81 |
$988.83 |
| 90688 |
|
88 |
88 |
$810.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
49 |
46 |
$405.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$169.56 |
| 99397 |
|
33 |
32 |
$152.91 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$18.28 |
| 99497 |
|
36 |
35 |
$10.00 |