| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,689 |
2,859 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,253 |
1,036 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,604 |
2,206 |
$45K |
| 99443 |
|
181 |
149 |
$4K |
| 90688 |
|
197 |
164 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
60 |
59 |
$1K |
| 99497 |
|
100 |
61 |
$932.29 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
34 |
29 |
$380.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
26 |
$69.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
18 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
14 |
14 |
$0.00 |