| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,188 |
4,286 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
148 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
79 |
$2K |
| 90686 |
|
94 |
74 |
$2K |
| 90688 |
|
85 |
79 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
410 |
382 |
$847.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
96 |
$558.00 |
| 90658 |
|
48 |
36 |
$551.75 |