| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,169 |
1,865 |
$21K |
| 96156 |
|
240 |
240 |
$11K |
| 90688 |
|
273 |
273 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
151 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
818 |
767 |
$3K |
| 96151 |
|
15 |
15 |
$104.64 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$30.72 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$16.78 |