| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
584 |
$326.62 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
123 |
112 |
$179.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$14.85 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$0.26 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| 90756 |
|
25 |
25 |
$0.00 |