| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
997 |
898 |
$33K |
| 94726 |
|
1,652 |
1,497 |
$25K |
| 94729 |
|
1,643 |
1,493 |
$25K |
| 94375 |
|
2,237 |
2,004 |
$24K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
24 |
12 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
176 |
$2K |
| 99215 |
Prolong outpt/office vis |
63 |
51 |
$2K |
| 90686 |
|
77 |
74 |
$517.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$437.35 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,176 |
1,072 |
$0.00 |
| 4040F |
|
219 |
207 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |