| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,269 |
1,214 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,015 |
1,897 |
$87K |
| 90688 |
|
211 |
211 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
128 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$380.31 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$265.33 |
| 90658 |
|
17 |
17 |
$225.17 |