| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
270 |
$19K |
| 99215 |
Prolong outpt/office vis |
114 |
110 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
18 |
$2K |
| 90686 |
|
14 |
12 |
$317.79 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
107 |
$106.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |