| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
257 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
191 |
$15K |
| 0012A |
|
116 |
116 |
$2K |
| 0013A |
|
31 |
31 |
$1K |
| 0011A |
|
122 |
122 |
$896.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$235.00 |
| 90658 |
|
13 |
13 |
$214.64 |
| 3008F |
|
863 |
789 |
$0.00 |
| 0001F |
|
860 |
784 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
51 |
$0.00 |
| 99000 |
|
68 |
63 |
$0.00 |