| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,157 |
974 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,347 |
1,098 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
227 |
180 |
$161.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
14 |
$115.36 |
| 90756 |
|
21 |
14 |
$104.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
14 |
$34.41 |
| 81003 |
|
57 |
39 |
$25.75 |