| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,350 |
2,336 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,459 |
1,132 |
$57K |
| 99401 |
|
168 |
144 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
955 |
830 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 81002 |
|
550 |
469 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
29 |
$810.71 |
| 96127 |
|
57 |
56 |
$255.24 |
| 93000 |
|
25 |
25 |
$238.40 |
| 90688 |
|
15 |
15 |
$160.80 |
| 90674 |
|
19 |
13 |
$96.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$59.92 |
| 99001 |
|
23 |
12 |
$44.16 |
| 90656 |
|
29 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
20 |
$0.00 |