| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
898 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
600 |
441 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
265 |
259 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
69 |
$963.67 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
73 |
$510.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$210.00 |
| 90658 |
|
41 |
41 |
$65.32 |
| 3074F |
|
13 |
12 |
$0.00 |
| 3008F |
|
15 |
14 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |