| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,682 |
1,500 |
$154K |
| 94010 |
|
1,499 |
1,383 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
159 |
$12K |
| 92588 |
|
173 |
173 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$5K |
| 95923 |
|
27 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,068 |
1,048 |
$2K |
| 93000 |
|
99 |
98 |
$2K |
| 92567 |
|
163 |
163 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$774.63 |
| 95921 |
|
15 |
15 |
$773.51 |
| 90674 |
|
35 |
35 |
$748.96 |
| 99407 |
|
62 |
56 |
$682.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$347.19 |
| 99058 |
|
295 |
265 |
$270.15 |
| 90686 |
|
41 |
41 |
$246.43 |
| 94760 |
|
14 |
14 |
$8.86 |
| 1125F |
|
46 |
38 |
$0.00 |
| 95922 |
|
14 |
14 |
$0.00 |