| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
129 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
39 |
$3K |
| 90674 |
|
15 |
15 |
$322.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$257.14 |
| 99000 |
|
62 |
58 |
$202.46 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
58 |
$192.02 |