| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
589 |
$65K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
113 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
37 |
$816.61 |
| 90686 |
|
18 |
18 |
$317.60 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
60 |
$149.82 |