| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,661 |
3,644 |
$217K |
| 99199 |
Unlisted special service, procedure or report |
36,549 |
16,719 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,919 |
2,156 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
43 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,069 |
924 |
$2K |
| 90688 |
|
73 |
46 |
$414.41 |
| 82962 |
|
376 |
336 |
$388.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$154.94 |
| 81002 |
|
63 |
57 |
$111.48 |
| 90756 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |