| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,057 |
953 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
513 |
$15K |
| 99401 |
|
572 |
486 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,048 |
1,003 |
$1K |
| 99404 |
|
15 |
15 |
$1K |
| 90756 |
|
32 |
32 |
$264.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$250.04 |
| 99000 |
|
566 |
511 |
$7.04 |
| 3074F |
|
23 |
20 |
$2.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |