| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,427 |
4,897 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,139 |
2,109 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
325 |
325 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
132 |
$15K |
| 90688 |
|
249 |
249 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
115 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$947.38 |
| 90674 |
|
27 |
27 |
$719.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
196 |
$342.31 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |