| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
317 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
263 |
223 |
$14K |
| 93000 |
|
72 |
72 |
$947.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$181.82 |
| 90688 |
|
16 |
14 |
$176.71 |
| G0008 |
Administration of influenza virus vaccine |
17 |
15 |
$113.70 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
170 |
$104.04 |
| 3008F |
|
77 |
67 |
$0.00 |
| 1126F |
|
87 |
75 |
$0.00 |