| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,354 |
8,849 |
$1.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,260 |
2,920 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
545 |
$116K |
| 92250 |
|
32 |
32 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
44 |
$723.52 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
334 |
134 |
$693.31 |
| 99441 |
|
26 |
25 |
$313.91 |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
20 |
$168.76 |
| G0008 |
Administration of influenza virus vaccine |
285 |
284 |
$0.00 |
| 90694 |
|
52 |
52 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
196 |
195 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |