| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,704 |
6,349 |
$501K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,931 |
6,267 |
$333K |
| 90662 |
|
33 |
33 |
$915.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
34 |
$875.52 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$371.84 |
| G0008 |
Administration of influenza virus vaccine |
112 |
110 |
$-134.95 |
| 99497 |
|
282 |
275 |
$-2785.74 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
324 |
315 |
$-4825.97 |