| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,572 |
4,231 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,654 |
2,459 |
$174K |
| 99406 |
|
1,932 |
1,728 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 0031A |
|
39 |
39 |
$2K |
| 0013A |
|
36 |
36 |
$1K |
| 0012A |
|
34 |
34 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90688 |
|
57 |
57 |
$1K |
| 0011A |
|
22 |
22 |
$862.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$547.44 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$334.30 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$43.35 |