| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,184 |
2,354 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
391 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
444 |
417 |
$415.85 |
| 90756 |
|
107 |
107 |
$213.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
129 |
$191.50 |
| G0008 |
Administration of influenza virus vaccine |
34 |
32 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
35 |
33 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |