| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
818 |
655 |
$8K |
| 99422 |
|
310 |
264 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
27 |
$160.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
48 |
$41.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
130 |
$30.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$20.00 |
| 90756 |
|
16 |
16 |
$20.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$16.56 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$1.80 |
| 90686 |
|
25 |
25 |
$0.00 |
| 99497 |
|
15 |
15 |
$0.00 |