| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,141 |
931 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
357 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
89 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
68 |
$868.61 |
| 92552 |
|
29 |
29 |
$427.84 |
| 90756 |
|
30 |
20 |
$364.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$147.24 |
| 99173 |
|
18 |
18 |
$85.00 |
| 90658 |
|
19 |
19 |
$60.48 |
| 36415 |
Collection of venous blood by venipuncture |
219 |
206 |
$0.00 |