| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
29,628 |
14,733 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
209 |
171 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
131 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
40 |
$762.39 |
| 81002 |
|
258 |
193 |
$386.34 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$22.72 |
| 99173 |
|
16 |
12 |
$0.00 |
| 92551 |
|
16 |
12 |
$0.00 |