| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,420 |
1,914 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
149 |
24 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
350 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
41 |
$425.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$169.56 |
| 36410 |
|
105 |
103 |
$139.56 |
| G0008 |
Administration of influenza virus vaccine |
246 |
244 |
$102.68 |
| 90756 |
|
131 |
130 |
$69.69 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
91 |
91 |
$7.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
13 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |