| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,160 |
1,399 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
384 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
87 |
82 |
$2K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
29 |
29 |
$426.80 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
124 |
$333.54 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
16 |
16 |
$281.28 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$85.40 |