| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,265 |
2,125 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,817 |
2,716 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
304 |
292 |
$4K |
| 99000 |
|
466 |
441 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 90734 |
|
12 |
12 |
$1K |
| 90656 |
|
117 |
116 |
$757.63 |
| 99442 |
|
49 |
49 |
$679.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
61 |
$530.99 |
| 90688 |
|
63 |
62 |
$408.58 |
| 90658 |
|
16 |
16 |
$239.73 |
| A4215 |
Needle, sterile, any size, each |
222 |
217 |
$18.93 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |