| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,470 |
3,260 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
52 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90756 |
|
186 |
179 |
$328.16 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$322.28 |
| G0008 |
Administration of influenza virus vaccine |
247 |
213 |
$145.21 |
| 90688 |
|
59 |
34 |
$36.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |