| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,176 |
1,071 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
226 |
$474.63 |
| 36410 |
|
12 |
12 |
$80.19 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$42.23 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$24.88 |
| 90674 |
|
69 |
69 |
$3.87 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| J1740 |
Injection, ibandronate sodium, 1 mg |
12 |
12 |
$0.00 |