| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,771 |
13,093 |
$640K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,014 |
2,515 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,684 |
1,336 |
$28K |
| 90688 |
|
286 |
230 |
$1K |
| 99490 |
Ccm add 20min |
158 |
150 |
$1K |
| 90686 |
|
89 |
81 |
$516.48 |
| G0008 |
Administration of influenza virus vaccine |
241 |
195 |
$401.70 |
| 80305 |
|
28 |
28 |
$284.32 |
| 90658 |
|
12 |
12 |
$132.66 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
12 |
$117.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
21 |
21 |
$0.00 |