| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
346 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
286 |
$7K |
| 90682 |
|
42 |
42 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
78 |
$67.50 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
160 |
$25.00 |
| 3079F |
|
13 |
13 |
$15.00 |
| 3074F |
|
12 |
12 |
$1.25 |
| 3725F |
|
90 |
89 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |