| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,027 |
935 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
439 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$632.33 |
| 90686 |
|
42 |
41 |
$556.86 |
| 99442 |
|
31 |
25 |
$435.32 |
| 3078F |
|
530 |
496 |
$326.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$267.71 |
| 3074F |
|
313 |
288 |
$267.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$215.70 |
| 99441 |
|
17 |
14 |
$210.61 |
| 96373 |
|
12 |
12 |
$135.27 |
| 90688 |
|
13 |
13 |
$111.93 |
| 99401 |
|
16 |
16 |
$109.68 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$15.80 |
| 3077F |
|
14 |
12 |
$10.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
224 |
205 |
$0.00 |