| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
248 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,045 |
2,657 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
36 |
36 |
$524.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
90 |
$282.82 |
| 90674 |
|
23 |
23 |
$240.00 |
| 90687 |
|
13 |
13 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
326 |
315 |
$6.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |