| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
831 |
701 |
$4K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
12 |
$90.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |
| 90756 |
|
18 |
18 |
$0.00 |