| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,249 |
1,967 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
478 |
$18K |
| 90656 |
|
63 |
63 |
$751.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$729.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
115 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 90653 |
|
14 |
14 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
27 |
27 |
$0.00 |