| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,598 |
1,526 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,172 |
1,829 |
$27K |
| 99441 |
|
384 |
342 |
$2K |
| 99442 |
|
164 |
148 |
$1K |
| 99443 |
|
55 |
40 |
$975.70 |
| 90756 |
|
15 |
15 |
$111.64 |
| G0008 |
Administration of influenza virus vaccine |
214 |
211 |
$27.90 |
| 82947 |
|
638 |
565 |
$9.30 |
| 36415 |
Collection of venous blood by venipuncture |
520 |
511 |
$0.00 |
| 90694 |
|
19 |
19 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
139 |
138 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$0.00 |
| 90658 |
|
33 |
33 |
$0.00 |