| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,144 |
4,092 |
$152K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
86 |
68 |
$4K |
| 93000 |
|
697 |
673 |
$3K |
| 93880 |
|
16 |
13 |
$471.60 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
45 |
45 |
$54.72 |
| 90688 |
|
16 |
16 |
$35.68 |
| G0008 |
Administration of influenza virus vaccine |
50 |
50 |
$0.00 |