| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,882 |
7,602 |
$558K |
| 93000 |
|
1,245 |
1,146 |
$10K |
| 90686 |
|
567 |
547 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
99 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$2K |
| 99354 |
|
112 |
103 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
488 |
447 |
$1K |
| 96401 |
|
43 |
43 |
$803.85 |
| 90662 |
|
129 |
112 |
$697.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
87 |
$635.09 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
708 |
656 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
622 |
585 |
$0.00 |