| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
2,996 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
605 |
564 |
$2K |
| 90688 |
|
187 |
187 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
286 |
284 |
$900.09 |
| 90686 |
|
51 |
51 |
$625.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$494.13 |
| 99423 |
|
12 |
12 |
$493.92 |
| 99443 |
|
17 |
16 |
$383.18 |
| 96156 |
|
100 |
100 |
$252.90 |
| G0008 |
Administration of influenza virus vaccine |
119 |
119 |
$70.13 |
| 90756 |
|
12 |
12 |
$57.31 |
| 3008F |
|
129 |
129 |
$46.98 |
| 90674 |
|
13 |
13 |
$34.88 |
| 3078F |
|
26 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$0.00 |
| 3074F |
|
28 |
28 |
$0.00 |