| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,954 |
4,262 |
$446K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,252 |
1,612 |
$179K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
915 |
716 |
$52K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
15 |
$3K |
| 90662 |
|
13 |
13 |
$875.90 |
| 0124A |
|
20 |
14 |
$353.63 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$351.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
855 |
679 |
$39.71 |
| 90686 |
|
430 |
354 |
$0.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
42 |
$0.00 |
| 0001A |
|
17 |
12 |
$0.00 |