| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,022 |
3,463 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
583 |
216 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
500 |
481 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
46 |
38 |
$2K |
| 90756 |
|
40 |
40 |
$141.40 |
| 90661 |
|
16 |
14 |
$36.92 |
| 90674 |
|
14 |
14 |
$24.05 |
| G0008 |
Administration of influenza virus vaccine |
67 |
53 |
$16.60 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
15 |
15 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$0.00 |