| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,093 |
1,022 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
419 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
344 |
$18K |
| 90756 |
|
311 |
234 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
73 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
92 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$128.55 |
| G0008 |
Administration of influenza virus vaccine |
151 |
148 |
$0.00 |