| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,159 |
4,309 |
$118K |
| 93000 |
|
112 |
112 |
$526.25 |
| 90688 |
|
57 |
57 |
$363.44 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
19 |
19 |
$213.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$172.61 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$21.20 |
| 99072 |
|
231 |
203 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |