| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,265 |
2,029 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,435 |
$68K |
| 90674 |
|
85 |
84 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$853.82 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$765.37 |
| 90653 |
|
12 |
12 |
$54.65 |
| 3078F |
|
77 |
70 |
$8.00 |
| 3075F |
|
29 |
25 |
$3.00 |
| 3074F |
|
46 |
38 |
$2.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |