| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,313 |
4,062 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
329 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
92 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
152 |
151 |
$2K |
| 90661 |
|
48 |
48 |
$1K |
| 90756 |
|
49 |
49 |
$935.31 |
| 90686 |
|
50 |
49 |
$763.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$401.24 |
| 99407 |
|
17 |
15 |
$177.15 |