| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
981 |
849 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
655 |
574 |
$12K |
| 90686 |
|
35 |
31 |
$232.81 |
| 99442 |
|
17 |
13 |
$101.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
19 |
$61.52 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |