| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,340 |
1,299 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,165 |
1,148 |
$5K |
| 90688 |
|
49 |
49 |
$44.38 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$34.79 |
| 99497 |
|
13 |
13 |
$0.75 |
| 3074F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
55 |
$0.00 |
| 3078F |
|
37 |
37 |
$0.00 |