| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,397 |
1,243 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
385 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$5K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$3K |
| 96127 |
|
307 |
275 |
$1K |
| 90686 |
|
14 |
12 |
$105.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$87.29 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$64.53 |