| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,857 |
1,789 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,783 |
2,609 |
$8K |
| 90686 |
|
187 |
186 |
$3K |
| 90658 |
|
63 |
59 |
$842.35 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
39 |
36 |
$163.77 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$50.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$13.83 |
| 96151 |
|
12 |
12 |
$0.00 |