| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
396 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
105 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
304 |
292 |
$677.21 |
| 90756 |
|
16 |
12 |
$292.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
15 |
$103.50 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
388 |
355 |
$63.20 |
| 3074F |
|
321 |
298 |
$0.00 |
| 3008F |
|
499 |
466 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |
| 99000 |
|
304 |
294 |
$0.00 |
| 1036F |
|
184 |
157 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 1160F |
|
440 |
403 |
$0.00 |
| 3077F |
|
77 |
74 |
$0.00 |
| 1159F |
|
428 |
395 |
$0.00 |
| 3078F |
|
391 |
361 |
$0.00 |