| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,168 |
4,230 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
134 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
98 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
106 |
$2K |
| 90688 |
|
100 |
100 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
197 |
186 |
$560.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$413.09 |
| 90461 |
|
16 |
16 |
$386.56 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$9.78 |
| 99000 |
|
136 |
133 |
$0.00 |