| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,431 |
1,218 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,530 |
1,062 |
$49K |
| 36410 |
|
753 |
527 |
$1K |
| 90674 |
|
25 |
25 |
$700.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
15 |
$463.12 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$315.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
28 |
$309.45 |
| 3078F |
|
26 |
13 |
$7.00 |
| 90694 |
|
13 |
13 |
$0.00 |