| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,549 |
12,648 |
$1.38M |
| 99215 |
Prolong outpt/office vis |
3,425 |
3,154 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
430 |
408 |
$32K |
| 99406 |
|
541 |
517 |
$7K |
| 93000 |
|
469 |
453 |
$7K |
| 90656 |
|
301 |
285 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
210 |
$2K |
| 90686 |
|
103 |
97 |
$1K |
| 94060 |
|
13 |
13 |
$631.54 |
| G0008 |
Administration of influenza virus vaccine |
89 |
87 |
$557.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$421.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$302.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$103.27 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
18 |
18 |
$0.00 |