| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,615 |
1,543 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
68 |
$3K |
| 90756 |
|
99 |
98 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
145 |
143 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$737.17 |
| 90674 |
|
26 |
26 |
$379.72 |
| 90661 |
|
20 |
20 |
$221.10 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$14.75 |
| 90694 |
|
16 |
16 |
$0.00 |