| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,429 |
6,548 |
$432K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
67 |
$5K |
| 80305 |
|
504 |
460 |
$3K |
| 90756 |
|
114 |
54 |
$1K |
| 90674 |
|
36 |
23 |
$478.21 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
32 |
$0.00 |