| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,583 |
2,238 |
$131K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
793 |
707 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
276 |
58 |
$11K |
| 93880 |
|
12 |
12 |
$1K |
| 90756 |
|
41 |
39 |
$747.77 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
36 |
31 |
$624.24 |
| 90688 |
|
52 |
14 |
$244.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
29 |
$211.68 |
| G0008 |
Administration of influenza virus vaccine |
55 |
32 |
$57.29 |
| 3079F |
|
14 |
13 |
$0.00 |
| 3074F |
|
18 |
18 |
$0.00 |