| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
1,591 |
1,578 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,904 |
1,903 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,321 |
1,261 |
$104K |
| 92557 |
|
87 |
87 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$3K |
| 69210 |
|
179 |
177 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 92550 |
|
75 |
75 |
$2K |
| 92588 |
|
51 |
51 |
$2K |
| 92563 |
|
39 |
39 |
$1K |
| G8482 |
Influenza immunization administered or previously received |
55 |
55 |
$0.00 |