| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,830 |
4,096 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,206 |
1,003 |
$130K |
| 94667 |
|
635 |
573 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
904 |
841 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
506 |
456 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$905.00 |
| 94060 |
|
31 |
31 |
$38.46 |
| 90686 |
|
251 |
249 |
$9.00 |
| 90656 |
|
52 |
51 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |