| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,726 |
2,324 |
$139K |
| 99336 |
|
745 |
640 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,065 |
995 |
$37K |
| 99349 |
|
157 |
115 |
$4K |
| 90670 |
|
15 |
15 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$421.20 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$381.00 |
| 90654 |
|
16 |
16 |
$202.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$128.75 |
| 3078F |
|
80 |
78 |
$0.00 |
| 3074F |
|
44 |
43 |
$0.00 |
| 3008F |
|
40 |
40 |
$0.00 |
| 1034F |
|
82 |
79 |
$0.00 |
| 4000F |
|
25 |
24 |
$0.00 |
| 1125F |
|
32 |
31 |
$0.00 |