| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
942 |
847 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
278 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
93 |
$2K |
| 99397 |
|
27 |
26 |
$466.54 |
| 90662 |
|
25 |
25 |
$98.06 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$7.50 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$2.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |