| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,639 |
1,412 |
$70K |
| 90654 |
|
67 |
67 |
$795.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
75 |
$775.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$669.81 |
| 90674 |
|
35 |
35 |
$635.91 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$198.00 |
| 82947 |
|
75 |
65 |
$172.93 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$82.62 |