| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,182 |
1,642 |
$111K |
| 99199 |
Unlisted special service, procedure or report |
12,545 |
12,363 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
152 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
39 |
$1K |
| 90688 |
|
154 |
123 |
$371.80 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$35.10 |
| 92552 |
|
55 |
46 |
$24.15 |
| 99173 |
|
70 |
59 |
$12.00 |
| 99000 |
|
52 |
28 |
$0.00 |