| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,564 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
891 |
852 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
311 |
$4K |
| 90686 |
|
40 |
39 |
$560.00 |
| G0008 |
Administration of influenza virus vaccine |
132 |
128 |
$360.00 |
| 90694 |
|
13 |
13 |
$350.00 |
| 90658 |
|
28 |
28 |
$307.71 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
41 |
39 |
$0.00 |