| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,207 |
3,155 |
$149K |
| 99442 |
|
168 |
167 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$5K |
| 99441 |
|
146 |
141 |
$2K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
22 |
$350.94 |
| 90674 |
|
12 |
12 |
$293.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
34 |
$228.20 |
| 99406 |
|
26 |
26 |
$179.45 |
| 3074F |
|
878 |
874 |
$0.21 |
| 3078F |
|
872 |
868 |
$0.20 |
| 3079F |
|
254 |
253 |
$0.07 |
| 3075F |
|
238 |
237 |
$0.05 |
| 90694 |
|
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |