| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,474 |
2,356 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
240 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
80 |
$636.42 |
| 94010 |
|
13 |
12 |
$170.53 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
13 |
13 |
$104.80 |
| 82962 |
|
25 |
24 |
$17.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
50 |
$14.19 |
| 3008F |
|
58 |
57 |
$0.00 |