| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
2,108 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,639 |
2,532 |
$2K |
| 30210 |
|
87 |
87 |
$194.37 |
| 93000 |
|
19 |
19 |
$36.14 |
| 90756 |
|
101 |
101 |
$7.00 |
| 82947 |
|
18 |
17 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
29 |
$0.00 |
| 99490 |
Ccm add 20min |
48 |
48 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,043 |
1,030 |
$0.00 |
| 82962 |
|
675 |
656 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
154 |
154 |
$0.00 |
| 90688 |
|
24 |
24 |
$0.00 |
| 77081 |
|
31 |
31 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |