| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
633 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
405 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$327.20 |
| 90756 |
|
13 |
13 |
$186.63 |
| 90686 |
|
21 |
21 |
$171.27 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |