| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,746 |
1,491 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,264 |
1,094 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$768.01 |
| 90674 |
|
67 |
67 |
$708.75 |
| 96127 |
|
130 |
125 |
$255.64 |
| 90656 |
|
13 |
13 |
$204.40 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$10.90 |