| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
208 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
30 |
$2K |
| 90688 |
|
12 |
12 |
$133.65 |
| 99173 |
|
27 |
26 |
$51.80 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$0.00 |