| Code | Description | Claims | Beneficiaries | Total Paid |
| 99423 |
|
1,616 |
437 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,603 |
2,675 |
$36K |
| 99444 |
|
396 |
101 |
$22K |
| 99443 |
|
1,170 |
796 |
$13K |
| 99091 |
|
44 |
44 |
$523.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
38 |
$162.54 |
| 93307 |
|
95 |
92 |
$82.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
33 |
$50.67 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 99422 |
|
135 |
59 |
$0.00 |
| 90674 |
|
40 |
40 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$0.00 |