| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
384 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
254 |
$10K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$114.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$80.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$44.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |