| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,624 |
3,735 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,681 |
$92K |
| 36415 |
Collection of venous blood by venipuncture |
1,290 |
1,259 |
$22K |
| G0008 |
Administration of influenza virus vaccine |
387 |
387 |
$3K |
| 90662 |
|
105 |
105 |
$2K |
| 90686 |
|
49 |
49 |
$913.92 |
| 90756 |
|
142 |
142 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
53 |
53 |
$0.00 |