| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
528 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
96 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$355.32 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
15 |
15 |
$170.95 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
55 |
$6.24 |
| 99429 |
|
17 |
15 |
$0.00 |
| 99072 |
|
131 |
99 |
$0.00 |