| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
1,266 |
1,261 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,928 |
1,890 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
435 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$5K |
| 0004A |
|
102 |
102 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,019 |
986 |
$3K |
| 90756 |
|
83 |
83 |
$1K |
| 90658 |
|
52 |
52 |
$888.82 |
| 0064A |
|
20 |
20 |
$713.39 |
| 86580 |
|
180 |
176 |
$635.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$495.87 |
| 0124A |
|
12 |
12 |
$450.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$98.00 |
| 91300 |
|
62 |
61 |
$0.00 |
| 91306 |
|
17 |
17 |
$0.00 |