| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,627 |
3,226 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
324 |
$24K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
107 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
458 |
385 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
97 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
55 |
54 |
$751.56 |
| 90688 |
|
14 |
14 |
$292.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
27 |
$30.00 |
| 3074F |
|
15 |
15 |
$15.00 |
| 3078F |
|
13 |
13 |
$13.00 |