| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,096 |
1,376 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
93 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
20 |
$2K |
| 99386 |
|
15 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
25 |
$810.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
105 |
$744.55 |
| 90756 |
|
97 |
63 |
$674.51 |
| G0008 |
Administration of influenza virus vaccine |
25 |
12 |
$0.00 |
| 90686 |
|
71 |
65 |
$0.00 |