| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,144 |
4,713 |
$437K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,088 |
1,003 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
149 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90658 |
|
75 |
75 |
$874.77 |
| 99422 |
|
15 |
14 |
$277.46 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
101 |
$73.13 |