| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,880 |
3,494 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
972 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
387 |
387 |
$5K |
| 90686 |
|
215 |
215 |
$3K |
| 92557 |
|
121 |
121 |
$3K |
| 90656 |
|
123 |
123 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$815.14 |
| 90674 |
|
36 |
36 |
$781.08 |
| 90658 |
|
14 |
14 |
$220.89 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
218 |
200 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
46 |
44 |
$0.00 |