| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,700 |
2,380 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,241 |
1,081 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
164 |
144 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$990.91 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
122 |
116 |
$742.50 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
89 |
66 |
$424.17 |
| 90688 |
|
75 |
64 |
$246.88 |
| G0008 |
Administration of influenza virus vaccine |
133 |
106 |
$175.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$156.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
161 |
127 |
$89.49 |
| 1170F |
|
242 |
189 |
$30.00 |
| 1160F |
|
244 |
191 |
$30.00 |
| 1159F |
|
244 |
191 |
$30.00 |
| 82962 |
|
15 |
15 |
$13.48 |
| 1125F |
|
56 |
47 |
$10.00 |
| 3008F |
|
241 |
190 |
$0.00 |
| 4010F |
|
39 |
34 |
$0.00 |
| 3017F |
|
35 |
33 |
$0.00 |
| 1158F |
|
173 |
139 |
$0.00 |
| 3078F |
|
60 |
47 |
$0.00 |