| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
143 |
$3K |
| 90686 |
|
234 |
137 |
$2K |
| 90688 |
|
333 |
307 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
219 |
215 |
$1K |
| 0002A |
|
69 |
43 |
$1K |
| 0001A |
|
72 |
45 |
$813.84 |
| 90656 |
|
70 |
70 |
$770.00 |
| 90619 |
|
12 |
12 |
$45.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
354 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |