| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,684 |
3,452 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
949 |
$46K |
| 90674 |
|
39 |
33 |
$487.34 |
| 36415 |
Collection of venous blood by venipuncture |
417 |
330 |
$429.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$325.68 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
20 |
19 |
$211.45 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
49 |
27 |
$194.18 |
| G0008 |
Administration of influenza virus vaccine |
15 |
13 |
$0.00 |