| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,553 |
1,779 |
$116K |
| 99199 |
Unlisted special service, procedure or report |
23,283 |
12,699 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
655 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
56 |
$699.42 |
| 90674 |
|
87 |
49 |
$481.84 |
| 96127 |
|
145 |
100 |
$398.52 |
| 90756 |
|
12 |
12 |
$275.28 |
| 90686 |
|
14 |
14 |
$248.36 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
102 |
$193.20 |
| 99490 |
Ccm add 20min |
47 |
26 |
$142.02 |
| 96160 |
|
74 |
47 |
$118.48 |
| 81002 |
|
44 |
26 |
$59.85 |
| 82950 |
|
21 |
13 |
$35.16 |
| 3077F |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
12 |
$0.00 |