| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,445 |
1,627 |
$85K |
| 99215 |
Prolong outpt/office vis |
1,075 |
635 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,167 |
1,400 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
119 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
333 |
333 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
32 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
17 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
53 |
$615.63 |
| 90658 |
|
19 |
19 |
$416.10 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
35 |
35 |
$261.74 |
| 94760 |
|
69 |
61 |
$239.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$209.38 |
| 92551 |
|
14 |
14 |
$126.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
138 |
118 |
$120.88 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$119.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$81.00 |
| 99173 |
|
16 |
16 |
$40.64 |
| 96151 |
|
12 |
12 |
$17.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$3.26 |