| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
738 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
462 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$745.24 |
| 90688 |
|
15 |
15 |
$271.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$205.61 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$43.48 |
| 36416 |
|
31 |
26 |
$35.00 |