| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,108 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
313 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
946 |
826 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
678 |
618 |
$951.46 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$905.51 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$596.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
107 |
$362.50 |
| 81002 |
|
169 |
155 |
$194.88 |
| 82962 |
|
103 |
82 |
$166.32 |
| 90756 |
|
35 |
25 |
$159.53 |
| 93000 |
|
16 |
14 |
$142.74 |
| 90658 |
|
24 |
21 |
$97.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
24 |
$6.24 |
| G0008 |
Administration of influenza virus vaccine |
59 |
28 |
$0.00 |