| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,151 |
8,692 |
$107K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,306 |
2,301 |
$58K |
| 99442 |
|
178 |
177 |
$6K |
| 93000 |
|
65 |
65 |
$500.51 |
| 90688 |
|
176 |
176 |
$456.42 |
| G0008 |
Administration of influenza virus vaccine |
197 |
197 |
$362.08 |
| 90674 |
|
26 |
26 |
$170.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$89.01 |
| 90756 |
|
34 |
34 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
57 |
57 |
$0.00 |