| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,790 |
5,935 |
$2.63M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,257 |
1,073 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
844 |
$278K |
| Q3014 |
Telehealth originating site facility fee |
437 |
368 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
980 |
$56K |
| 42700 |
|
102 |
80 |
$44K |
| 45500 |
|
58 |
43 |
$26K |
| G0008 |
Administration of influenza virus vaccine |
80 |
80 |
$331.71 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
40 |
40 |
$66.03 |
| 90686 |
|
18 |
18 |
$56.94 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$48.72 |