| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,412 |
3,397 |
$258K |
| 99215 |
Prolong outpt/office vis |
152 |
135 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,251 |
1,116 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 90756 |
|
91 |
79 |
$1K |
| 99000 |
|
253 |
212 |
$520.80 |
| 90674 |
|
21 |
19 |
$354.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
15 |
$188.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
48 |
$79.88 |