| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
208 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
107 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$849.15 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
13 |
$607.60 |
| 82607 |
|
23 |
13 |
$340.34 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
46 |
$170.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22 |
13 |
$143.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$104.70 |