| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
477 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,739 |
965 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
166 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,251 |
792 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$768.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
25 |
$171.46 |
| 90674 |
|
21 |
17 |
$84.39 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
15 |
15 |
$70.76 |
| G0008 |
Administration of influenza virus vaccine |
30 |
28 |
$0.00 |