| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,096 |
1,032 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
681 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
1,205 |
1,165 |
$1K |
| 93000 |
|
66 |
66 |
$274.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$47.02 |
| 90674 |
|
12 |
12 |
$28.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
57 |
$12.97 |
| 90686 |
|
18 |
18 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |