| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
885 |
796 |
$12K |
| 99336 |
|
446 |
394 |
$6K |
| 99337 |
|
86 |
71 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
76 |
$1K |
| 99335 |
|
26 |
25 |
$558.11 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
26 |
$255.86 |
| 90674 |
|
63 |
63 |
$154.56 |
| 90756 |
|
60 |
60 |
$100.04 |
| G0008 |
Administration of influenza virus vaccine |
166 |
165 |
$4.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
77 |
$0.00 |
| 90694 |
|
16 |
15 |
$0.00 |