| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,226 |
2,072 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
1,017 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
305 |
283 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$991.15 |
| 92551 |
|
50 |
50 |
$255.20 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$253.00 |
| 99173 |
|
38 |
38 |
$151.80 |
| 3061F |
|
40 |
38 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 3078F |
|
41 |
38 |
$0.00 |