| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,818 |
3,026 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,350 |
1,903 |
$71K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 90674 |
|
99 |
92 |
$950.36 |
| 90756 |
|
28 |
25 |
$415.50 |
| 90686 |
|
47 |
37 |
$331.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
86 |
$244.38 |
| 99050 |
|
29 |
26 |
$171.22 |
| G0008 |
Administration of influenza virus vaccine |
58 |
53 |
$0.00 |