| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
671 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
306 |
$11K |
| 93970 |
|
433 |
404 |
$10K |
| 90682 |
|
93 |
93 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
111 |
$1K |
| 90662 |
|
13 |
13 |
$253.83 |
| 90686 |
|
12 |
12 |
$215.60 |
| 93000 |
|
17 |
15 |
$72.30 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |