| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,063 |
2,807 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,117 |
803 |
$1K |
| 99441 |
|
575 |
467 |
$997.11 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
129 |
37 |
$972.80 |
| 93000 |
|
172 |
164 |
$812.73 |
| 99442 |
|
47 |
37 |
$463.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$426.60 |
| G0008 |
Administration of influenza virus vaccine |
261 |
199 |
$347.93 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$275.18 |
| 90688 |
|
131 |
111 |
$251.81 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
46 |
$239.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
66 |
$199.27 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
29 |
29 |
$143.20 |
| 90756 |
|
82 |
78 |
$11.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
121 |
$9.53 |
| 90662 |
|
18 |
17 |
$0.00 |