| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,799 |
3,451 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
816 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
370 |
342 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
198 |
$17K |
| 90686 |
|
488 |
350 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
63 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
60 |
$4K |
| 90656 |
|
68 |
56 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
119 |
84 |
$788.80 |
| 90734 |
|
15 |
15 |
$149.60 |
| 85013 |
|
39 |
26 |
$112.60 |
| 85018 |
|
39 |
26 |
$83.52 |