| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,963 |
2,609 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,346 |
1,251 |
$64K |
| 90734 |
|
315 |
251 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,873 |
1,674 |
$16K |
| 90651 |
|
67 |
63 |
$7K |
| 90756 |
|
364 |
332 |
$6K |
| 90750 |
|
43 |
42 |
$5K |
| 90715 |
|
46 |
45 |
$1K |
| 90686 |
|
100 |
87 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
105 |
$886.21 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
173 |
$677.99 |
| 90661 |
|
14 |
12 |
$117.49 |
| 90611 |
|
15 |
12 |
$0.03 |