| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,337 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
551 |
$9K |
| 90674 |
|
101 |
101 |
$534.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$66.96 |
| G0008 |
Administration of influenza virus vaccine |
184 |
184 |
$0.00 |
| 90756 |
|
86 |
86 |
$0.00 |