| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
311 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$172.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$70.08 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$55.77 |
| 91301 |
|
13 |
13 |
$0.00 |