| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,814 |
1,297 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,886 |
1,335 |
$29K |
| 90756 |
|
22 |
17 |
$124.46 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
27 |
17 |
$112.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$55.89 |
| G0008 |
Administration of influenza virus vaccine |
75 |
37 |
$55.23 |