| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,312 |
2,653 |
$105K |
| 99233 |
Prolong inpt eval add15 m |
100 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,412 |
1,749 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
296 |
143 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
46 |
25 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
24 |
$1K |
| 90688 |
|
154 |
131 |
$872.14 |
| G0008 |
Administration of influenza virus vaccine |
168 |
143 |
$357.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$149.24 |
| 90658 |
|
19 |
17 |
$134.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
62 |
$8.89 |