| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,233 |
3,599 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,298 |
2,046 |
$174K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
71 |
$9K |
| 90674 |
|
315 |
191 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
40 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 90688 |
|
65 |
31 |
$463.84 |
| 90661 |
|
21 |
21 |
$0.00 |
| 90658 |
|
30 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
173 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |