| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,666 |
3,976 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,977 |
1,675 |
$82K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
376 |
370 |
$30K |
| 90688 |
|
394 |
379 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
435 |
$3K |
| 90662 |
|
88 |
80 |
$595.20 |
| 90658 |
|
29 |
29 |
$356.90 |
| G0008 |
Administration of influenza virus vaccine |
105 |
88 |
$16.76 |