| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,427 |
2,303 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,677 |
1,568 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$1K |
| 92551 |
|
252 |
252 |
$1K |
| 99173 |
|
239 |
239 |
$570.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$500.50 |
| 83655 |
|
28 |
28 |
$264.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
30 |
$187.00 |
| 90661 |
|
12 |
12 |
$132.00 |
| 3061F |
|
15 |
14 |
$0.00 |
| 3079F |
|
32 |
30 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |