| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$4K |
| 90686 |
|
51 |
51 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
20 |
$822.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$795.60 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$132.20 |
| 81002 |
|
26 |
26 |
$87.12 |