| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,377 |
1,919 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,327 |
2,709 |
$93K |
| 90686 |
|
100 |
87 |
$772.46 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
28 |
$0.00 |
| 3074F |
|
18 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
21 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 3078F |
|
20 |
18 |
$0.00 |