| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
528 |
433 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
128 |
$895.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
34 |
$348.52 |
| 20610 |
|
87 |
79 |
$122.00 |
| 90694 |
|
49 |
40 |
$61.04 |
| G0008 |
Administration of influenza virus vaccine |
45 |
35 |
$23.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$7.89 |