| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
284 |
$7K |
| 98926 |
|
649 |
609 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$376.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
355 |
351 |
$144.25 |
| 90688 |
|
51 |
51 |
$107.80 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$94.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
355 |
351 |
$84.47 |
| 90658 |
|
23 |
23 |
$55.75 |