| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,153 |
6,344 |
$468K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,880 |
5,227 |
$313K |
| 90686 |
|
308 |
293 |
$3K |
| 87428 |
|
60 |
54 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
59 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
57 |
$625.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
86 |
$591.92 |
| 90656 |
|
50 |
49 |
$425.51 |
| 99441 |
|
50 |
34 |
$320.24 |
| 87400 |
|
28 |
14 |
$307.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
38 |
$162.53 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
13 |
$85.19 |
| 81003 |
|
14 |
12 |
$17.22 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
198 |
173 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
27 |
$0.00 |