| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,264 |
5,448 |
$828K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
1,073 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,094 |
978 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
39 |
$863.18 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$464.92 |
| 99443 |
|
17 |
13 |
$228.31 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
85 |
85 |
$0.00 |
| 90662 |
|
116 |
116 |
$0.00 |
| 0124A |
|
23 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
304 |
304 |
$0.00 |
| 90694 |
|
39 |
39 |
$0.00 |
| 90480 |
|
72 |
72 |
$0.00 |