| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,000 |
4,764 |
$124K |
| 99307 |
|
1,307 |
1,249 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
128 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
42 |
$580.71 |
| 82947 |
|
253 |
206 |
$460.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$404.08 |
| 90756 |
|
45 |
45 |
$348.95 |
| 90688 |
|
26 |
26 |
$120.68 |
| 90674 |
|
18 |
18 |
$80.00 |
| 81000 |
|
16 |
13 |
$48.07 |
| 36415 |
Collection of venous blood by venipuncture |
162 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |