| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
569 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
202 |
$7K |
| 90674 |
|
43 |
34 |
$490.91 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
202 |
$285.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
28 |
$179.68 |
| 90756 |
|
25 |
22 |
$178.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
15 |
$0.00 |