| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,617 |
1,592 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,676 |
1,527 |
$114K |
| 90662 |
|
104 |
104 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
179 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,539 |
1,527 |
$2K |
| 90686 |
|
39 |
39 |
$823.00 |