| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,403 |
2,131 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
799 |
695 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
376 |
373 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$7K |
| 90688 |
|
96 |
96 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
109 |
109 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
323 |
318 |
$854.95 |
| 3078F |
|
650 |
602 |
$0.00 |
| 3008F |
|
1,236 |
1,160 |
$0.00 |
| 3079F |
|
413 |
393 |
$0.00 |
| 3074F |
|
1,232 |
1,146 |
$0.00 |