| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,208 |
1,734 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,069 |
1,590 |
$71K |
| 80305 |
|
104 |
99 |
$2K |
| 80061 |
Lipid panel |
84 |
82 |
$852.79 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
43 |
$783.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$673.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
28 |
$443.78 |
| 90756 |
|
15 |
15 |
$341.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$149.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
29 |
$149.53 |
| 90686 |
|
13 |
12 |
$147.84 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
87 |
$62.73 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |