| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,629 |
2,375 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 36410 |
|
643 |
613 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,751 |
1,678 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$820.63 |
| 90674 |
|
43 |
43 |
$572.09 |
| 90756 |
|
28 |
28 |
$457.98 |
| 93000 |
|
44 |
43 |
$278.03 |
| 90694 |
|
12 |
12 |
$133.57 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |