| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,926 |
7,796 |
$462K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
2,126 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
354 |
308 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
387 |
321 |
$4K |
| 90658 |
|
198 |
198 |
$2K |
| 93000 |
|
220 |
217 |
$2K |
| 99442 |
|
272 |
247 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
86 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
286 |
280 |
$317.74 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
289 |
284 |
$279.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |