| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,055 |
2,571 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
341 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
747 |
586 |
$7K |
| 99000 |
|
1,446 |
1,366 |
$7K |
| 81002 |
|
1,192 |
1,112 |
$2K |
| 93000 |
|
88 |
77 |
$585.00 |
| 82947 |
|
291 |
258 |
$348.09 |
| 90688 |
|
39 |
38 |
$211.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
422 |
364 |
$118.23 |
| 3078F |
|
470 |
413 |
$0.00 |
| 3725F |
|
14 |
12 |
$0.00 |
| 1090F |
|
28 |
24 |
$0.00 |
| 90756 |
|
24 |
24 |
$0.00 |
| 3288F |
|
14 |
12 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,258 |
1,211 |
$0.00 |
| 3074F |
|
552 |
491 |
$0.00 |
| 3079F |
|
110 |
103 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
93 |
88 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| 1170F |
|
15 |
13 |
$0.00 |
| J0697 |
Injection, sterile cefuroxime sodium, per 750 mg |
15 |
12 |
$0.00 |
| 82044 |
|
12 |
12 |
$0.00 |