| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
758 |
749 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
428 |
352 |
$38K |
| 99401 |
|
251 |
251 |
$5K |
| 90682 |
|
12 |
12 |
$824.40 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
193 |
$69.56 |
| 96127 |
|
14 |
14 |
$64.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$60.00 |
| 94760 |
|
16 |
16 |
$10.14 |
| 3008F |
|
26 |
24 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |