| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,272 |
1,026 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,267 |
980 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
305 |
295 |
$1K |
| 93922 |
|
18 |
17 |
$620.63 |
| 0134A |
|
15 |
12 |
$407.43 |
| 90674 |
|
23 |
22 |
$244.36 |
| 0013A |
|
13 |
12 |
$221.60 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |