| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,672 |
2,043 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,436 |
2,641 |
$93K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
42 |
$5K |
| 90686 |
|
338 |
40 |
$72.60 |
| 3008F |
|
3,054 |
2,455 |
$8.40 |
| 3077F |
|
20 |
20 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
31 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |
| 3080F |
|
30 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
12 |
$0.00 |