| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,105 |
2,968 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,010 |
2,602 |
$37K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
398 |
338 |
$2K |
| 36410 |
|
1,245 |
1,213 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$951.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
165 |
$713.39 |
| 36415 |
Collection of venous blood by venipuncture |
1,210 |
1,160 |
$232.66 |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$159.57 |
| 90686 |
|
121 |
118 |
$128.04 |
| 93000 |
|
13 |
12 |
$78.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
273 |
246 |
$32.31 |
| G0008 |
Administration of influenza virus vaccine |
102 |
101 |
$0.00 |
| 90662 |
|
114 |
113 |
$0.00 |
| J2720 |
Injection, protamine sulfate, per 10 mg |
12 |
12 |
$0.00 |