| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,592 |
2,238 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,755 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
795 |
713 |
$36K |
| 99441 |
|
1,410 |
1,226 |
$29K |
| 90674 |
|
175 |
147 |
$4K |
| 90756 |
|
70 |
70 |
$2K |
| 90686 |
|
121 |
112 |
$2K |
| 90656 |
|
53 |
42 |
$660.48 |
| G0008 |
Administration of influenza virus vaccine |
125 |
121 |
$399.23 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |