| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,461 |
2,270 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
611 |
589 |
$30K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
39 |
36 |
$148.14 |
| 90656 |
|
15 |
15 |
$61.75 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$18.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$0.00 |