| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
113 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
32 |
$2K |
| 90686 |
|
12 |
12 |
$279.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$15.30 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
64 |
$0.00 |