| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
80 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
50 |
$5K |
| 3008F |
|
207 |
177 |
$970.00 |
| 3078F |
|
47 |
40 |
$330.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$300.25 |
| 3074F |
|
28 |
27 |
$240.00 |
| 90686 |
|
14 |
13 |
$85.65 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
26 |
$43.20 |
| 4037F |
|
21 |
18 |
$0.00 |