| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
569 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,097 |
959 |
$33K |
| 99310 |
Prolong nursin fac eval 15m |
1,338 |
1,337 |
$5K |
| 99215 |
Prolong outpt/office vis |
437 |
372 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$573.75 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$140.71 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
14 |
14 |
$28.15 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |