| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,077 |
1,028 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,137 |
1,061 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
15 |
13 |
$143.00 |
| 90682 |
|
16 |
12 |
$79.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |