| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
502 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
121 |
$5K |
| T1016 |
Case management, each 15 minutes |
156 |
80 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
152 |
148 |
$167.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$63.00 |
| G9920 |
Screening performed and negative |
25 |
25 |
$5.40 |
| 3008F |
|
182 |
174 |
$0.00 |
| 90688 |
|
32 |
32 |
$0.00 |