| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,686 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,188 |
1,127 |
$97K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
564 |
$10K |
| 90756 |
|
87 |
86 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
424 |
419 |
$935.19 |
| 96127 |
|
103 |
103 |
$380.26 |
| 90688 |
|
25 |
25 |
$346.99 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$320.62 |
| 90686 |
|
150 |
150 |
$17.13 |