| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,733 |
3,533 |
$274K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,573 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
30 |
$3K |
| 90756 |
|
147 |
147 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
79 |
79 |
$498.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
58 |
$399.00 |
| 96127 |
|
104 |
104 |
$270.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
37 |
$255.95 |
| 81002 |
|
13 |
13 |
$26.02 |
| 3079F |
|
1,725 |
1,648 |
$0.00 |
| 1000F |
|
3,295 |
3,068 |
$0.00 |
| 3080F |
|
483 |
463 |
$0.00 |
| 3074F |
|
2,752 |
2,597 |
$0.00 |
| 3075F |
|
1,003 |
967 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
101 |
97 |
$0.00 |
| 3078F |
|
2,560 |
2,423 |
$0.00 |
| 3725F |
|
2,101 |
2,006 |
$0.00 |
| 3077F |
|
994 |
933 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
18 |
17 |
$0.00 |