| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,291 |
2,087 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,298 |
1,126 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
369 |
368 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 90688 |
|
117 |
116 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
141 |
140 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
407 |
401 |
$859.04 |
| 90658 |
|
12 |
12 |
$109.30 |
| 3078F |
|
418 |
378 |
$0.00 |
| 3008F |
|
890 |
829 |
$0.00 |
| 3079F |
|
193 |
179 |
$0.00 |
| 3074F |
|
755 |
694 |
$0.00 |