| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,802 |
2,395 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,712 |
1,485 |
$119K |
| 90674 |
|
123 |
122 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$788.54 |
| G0008 |
Administration of influenza virus vaccine |
50 |
41 |
$684.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$263.33 |
| 90694 |
|
24 |
14 |
$0.00 |
| 90653 |
|
14 |
14 |
$0.00 |