| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
381 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$286.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$30.44 |
| 86580 |
|
36 |
13 |
$5.50 |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
13 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
24 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |