| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,861 |
1,406 |
$22K |
| 99444 |
|
94 |
24 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
129 |
$956.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$860.50 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$0.00 |
| 1170F |
|
17 |
16 |
$0.00 |
| 90756 |
|
45 |
45 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |