| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
634 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
733 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
189 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$823.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
50 |
$743.08 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
72 |
$206.97 |
| 90686 |
|
17 |
17 |
$116.21 |
| 1170F |
|
2,253 |
2,000 |
$0.00 |
| 3008F |
|
1,074 |
928 |
$0.00 |
| 3074F |
|
132 |
126 |
$0.00 |
| 1000F |
|
2,518 |
2,251 |
$0.00 |
| 1159F |
|
2,801 |
2,573 |
$0.00 |
| 3078F |
|
198 |
190 |
$0.00 |