| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,121 |
1,666 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
86 |
$7K |
| 93000 |
|
182 |
180 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
21 |
$2K |
| 93040 |
|
167 |
165 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
756 |
743 |
$540.20 |
| 90688 |
|
25 |
25 |
$398.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$380.14 |
| 94070 |
|
12 |
12 |
$378.86 |
| 81002 |
|
121 |
121 |
$212.71 |
| 1159F |
|
30 |
28 |
$0.00 |
| 3008F |
|
28 |
26 |
$0.00 |
| 2000F |
|
13 |
13 |
$0.00 |