| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
996 |
938 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
965 |
915 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
100 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
194 |
$2K |
| 90686 |
|
102 |
102 |
$1K |
| 81025 |
|
138 |
129 |
$931.46 |
| 90715 |
|
12 |
12 |
$409.00 |
| 81002 |
|
62 |
57 |
$191.05 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
76 |
$0.00 |