| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,475 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,149 |
1,030 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
396 |
327 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
111 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
41 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$925.52 |
| 99460 |
|
13 |
12 |
$563.21 |
| 90686 |
|
29 |
28 |
$152.75 |
| G0008 |
Administration of influenza virus vaccine |
46 |
44 |
$13.12 |