| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,977 |
4,689 |
$9K |
| 90658 |
|
76 |
76 |
$674.17 |
| 90686 |
|
18 |
18 |
$391.36 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
355 |
$214.69 |
| 90662 |
|
12 |
12 |
$130.00 |
| 90656 |
|
16 |
16 |
$96.25 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
41 |
41 |
$80.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$49.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$45.00 |
| G0008 |
Administration of influenza virus vaccine |
66 |
66 |
$0.00 |