| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,471 |
1,140 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
462 |
389 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
531 |
458 |
$688.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$357.70 |
| 90756 |
|
14 |
14 |
$164.08 |
| 99442 |
|
16 |
12 |
$34.32 |
| 99441 |
|
20 |
13 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
26 |
23 |
$0.00 |