| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,203 |
1,901 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,437 |
1,169 |
$73K |
| 36415 |
Collection of venous blood by venipuncture |
2,188 |
1,945 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
276 |
251 |
$3K |
| 90756 |
|
60 |
54 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90674 |
|
35 |
32 |
$903.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
221 |
$820.55 |
| 90656 |
|
36 |
36 |
$627.84 |
| 0011A |
|
13 |
13 |
$400.00 |
| 0012A |
|
14 |
13 |
$370.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
228 |
205 |
$319.85 |
| 90686 |
|
19 |
15 |
$291.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
46 |
36 |
$231.71 |
| 90688 |
|
15 |
14 |
$201.63 |
| 93000 |
|
15 |
13 |
$124.39 |
| 99408 |
|
13 |
12 |
$105.00 |
| 96127 |
|
14 |
13 |
$48.60 |
| 91301 |
|
28 |
25 |
$0.15 |