| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,614 |
1,488 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
980 |
$62K |
| 93000 |
|
280 |
278 |
$2K |
| 90682 |
|
36 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$721.16 |
| 90688 |
|
45 |
45 |
$584.31 |
| 94010 |
|
12 |
12 |
$173.14 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
42 |
42 |
$142.44 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |