| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 430 | $120 | $52.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 620 | $80 | $48.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 720 | $50 | $36.6K |
| G0008 | Administration of influenza virus vaccine | 180 | $30 | $4.9K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 20 | $280 | $4.8K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 30 | $160 | $4.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 160 | $20 | $3.6K |
| G0009 | Administration of pneumococcal vaccine | 30 | $30 | $780 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 10 | $20 | $260 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | $1 | $80 |