| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,236 |
3,832 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
26 |
$2K |
| 90674 |
|
147 |
142 |
$584.14 |
| 90756 |
|
149 |
147 |
$380.55 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96 |
24 |
$353.25 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
801 |
771 |
$224.97 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$122.49 |
| G0008 |
Administration of influenza virus vaccine |
250 |
246 |
$0.00 |