| Code | Description | Claims | Bene. Records | Total Paid |
| 99402 |
|
84 |
82 |
$4K |
| 90633 |
|
162 |
155 |
$3K |
| 90716 |
|
57 |
57 |
$2K |
| 90658 |
|
148 |
144 |
$2K |
| 90715 |
|
81 |
77 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
92 |
$1K |
| 90670 |
|
53 |
51 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
17 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
16 |
$920.16 |
| 90707 |
|
40 |
39 |
$773.57 |
| 36415 |
Collection of venous blood by venipuncture |
352 |
340 |
$705.60 |
| 90723 |
|
30 |
28 |
$636.84 |
| 90710 |
|
29 |
28 |
$592.92 |
| 90686 |
|
27 |
27 |
$390.00 |
| 90632 |
|
12 |
12 |
$304.17 |
| 90647 |
|
13 |
13 |
$263.52 |
| 90696 |
|
12 |
12 |
$241.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$187.59 |
| H0033 |
Oral medication administration, direct observation |
353 |
38 |
$0.00 |