| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,103 |
2,748 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
265 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$891.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$715.45 |
| 90756 |
|
31 |
29 |
$449.28 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
65 |
$148.16 |
| 36410 |
|
12 |
12 |
$81.92 |
| G0008 |
Administration of influenza virus vaccine |
43 |
41 |
$62.20 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$58.35 |