| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,988 |
1,596 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,732 |
1,489 |
$65K |
| 90658 |
|
14 |
14 |
$266.62 |
| 90688 |
|
40 |
39 |
$242.99 |
| 36410 |
|
234 |
225 |
$204.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$74.85 |
| G0008 |
Administration of influenza virus vaccine |
43 |
42 |
$24.10 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |