| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,587 |
11,547 |
$618K |
| 80305 |
|
4,521 |
3,540 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
32 |
$1K |
| 90756 |
|
124 |
121 |
$696.38 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
115 |
69 |
$374.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
16 |
$138.60 |
| 94690 |
|
14 |
12 |
$33.80 |
| 94375 |
|
14 |
12 |
$31.05 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
21 |
21 |
$15.80 |
| 94200 |
|
14 |
12 |
$11.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.17 |
| G0008 |
Administration of influenza virus vaccine |
113 |
111 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |