| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
1,026 |
$110.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,404 |
1,344 |
$75.70 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
101 |
94 |
$9.47 |
| 99490 |
Ccm add 20min |
187 |
187 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
274 |
252 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$0.00 |
| 93000 |
|
17 |
17 |
$0.00 |
| 90688 |
|
101 |
101 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
118 |
118 |
$0.00 |