| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,573 |
1,401 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
54 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
185 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$243.84 |
| 90686 |
|
18 |
14 |
$239.76 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
58 |
$101.15 |
| 81002 |
|
12 |
12 |
$27.40 |
| 99358 |
Prolong nursin fac eval 15m |
16 |
15 |
$0.00 |