| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2046 |
Hospice long term care, room and board only; per diem |
95 |
86 |
$452K |
| 62323 |
|
500 |
469 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
251 |
$18K |
| 64483 |
|
31 |
31 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
651 |
606 |
$890.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$744.89 |
| G0008 |
Administration of influenza virus vaccine |
62 |
59 |
$432.48 |