| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,573 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,030 |
990 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$990.00 |
| 90688 |
|
120 |
120 |
$628.85 |
| 36415 |
Collection of venous blood by venipuncture |
601 |
595 |
$468.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$426.90 |
| 93000 |
|
14 |
14 |
$59.83 |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$0.00 |