| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,649 |
1,327 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
375 |
$22K |
| 96160 |
|
614 |
523 |
$6K |
| 90686 |
|
153 |
119 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
47 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
201 |
167 |
$84.63 |
| 1036F |
|
1,293 |
989 |
$0.00 |
| 3017F |
|
185 |
123 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
14 |
$0.00 |
| 4004F |
|
22 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |