| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,206 |
4,056 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
921 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$974.93 |
| 90674 |
|
24 |
24 |
$550.00 |
| 99310 |
Prolong nursin fac eval 15m |
80 |
65 |
$413.96 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$217.10 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
109 |
109 |
$163.83 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23 |
23 |
$79.14 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$21.60 |
| 96127 |
|
14 |
13 |
$1.10 |