| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
2,039 |
530 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,225 |
2,039 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
574 |
553 |
$15K |
| 99422 |
|
598 |
157 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
67 |
$526.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
503 |
495 |
$343.97 |
| 99307 |
|
16 |
16 |
$43.37 |
| 90674 |
|
106 |
106 |
$0.00 |
| 99318 |
|
43 |
43 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
154 |
154 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
141 |
141 |
$0.00 |
| 99305 |
|
13 |
13 |
$0.00 |