| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
153 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$56.62 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
20 |
$46.41 |
| 3078F |
|
141 |
138 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
13 |
$0.00 |
| 3074F |
|
152 |
145 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3008F |
|
27 |
26 |
$0.00 |