| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,511 |
4,079 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
668 |
560 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$137.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
74 |
$72.51 |
| 94726 |
|
13 |
12 |
$11.23 |
| 90694 |
|
17 |
17 |
$10.09 |
| 94729 |
|
12 |
12 |
$9.11 |
| G0008 |
Administration of influenza virus vaccine |
226 |
226 |
$8.82 |
| 94728 |
|
12 |
12 |
$7.12 |
| 94727 |
|
12 |
12 |
$7.11 |
| 94200 |
|
12 |
12 |
$3.10 |
| 90756 |
|
106 |
106 |
$1.83 |
| 94150 |
|
12 |
12 |
$1.05 |
| 90656 |
|
63 |
63 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
109 |
109 |
$0.00 |