| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
55 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
39 |
$3K |
| 93000 |
|
48 |
45 |
$691.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$236.72 |
| 90686 |
|
13 |
13 |
$228.46 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
60 |
$24.00 |