| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,421 |
3,925 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,223 |
2,332 |
$78K |
| 90674 |
|
204 |
172 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
71 |
$770.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$762.29 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$486.93 |
| 90658 |
|
23 |
23 |
$348.65 |
| G0008 |
Administration of influenza virus vaccine |
111 |
93 |
$43.96 |