| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
734 |
693 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
278 |
$20K |
| 90688 |
|
26 |
24 |
$322.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
56 |
$44.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$23.80 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$10.53 |
| 90461 |
|
13 |
12 |
$0.00 |