| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,604 |
6,457 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,133 |
3,956 |
$164K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,439 |
1,402 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
82 |
$8K |
| 90686 |
|
384 |
367 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
106 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
237 |
221 |
$836.68 |
| 90656 |
|
49 |
48 |
$218.92 |
| 3078F |
|
83 |
43 |
$0.00 |
| 3075F |
|
28 |
19 |
$0.00 |
| 3079F |
|
25 |
17 |
$0.00 |
| 3074F |
|
77 |
43 |
$0.00 |