| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
993 |
843 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$1K |
| 90674 |
|
54 |
54 |
$773.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$633.58 |
| 90686 |
|
39 |
39 |
$289.37 |
| 90756 |
|
19 |
19 |
$276.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$271.04 |
| 90658 |
|
29 |
29 |
$244.20 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
20 |
20 |
$0.00 |