| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
933 |
811 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
337 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
56 |
$125.80 |
| G0008 |
Administration of influenza virus vaccine |
46 |
45 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
32 |
32 |
$0.00 |
| 1036F |
|
58 |
58 |
$0.00 |
| 4004F |
|
16 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34 |
34 |
$0.00 |
| 1124F |
|
38 |
38 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12 |
12 |
$0.00 |
| 90653 |
|
26 |
26 |
$0.00 |
| 4040F |
|
47 |
47 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
69 |
69 |
$0.00 |