| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,427 |
2,979 |
$43K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
165 |
165 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
228 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
87 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
158 |
158 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
35 |
35 |
$689.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$150.51 |
| 90756 |
|
55 |
55 |
$52.25 |
| 90674 |
|
13 |
13 |
$45.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
30 |
29 |
$30.38 |
| 90630 |
|
53 |
53 |
$7.66 |