| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,310 |
1,142 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
49 |
$4K |
| 94060 |
|
13 |
13 |
$595.43 |
| 93000 |
|
13 |
13 |
$201.69 |
| 90688 |
|
13 |
13 |
$189.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$174.27 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$13.73 |
| 99072 |
|
13 |
12 |
$0.00 |