| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
387 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
768 |
692 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
107 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
230 |
214 |
$770.02 |
| 90686 |
|
45 |
45 |
$219.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$203.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$64.21 |
| 1159F |
|
1,853 |
1,733 |
$0.00 |
| 3078F |
|
366 |
343 |
$0.00 |
| 1000F |
|
2,616 |
2,368 |
$0.00 |
| 1170F |
|
2,175 |
1,951 |
$0.00 |
| 3074F |
|
302 |
290 |
$0.00 |
| 3008F |
|
469 |
399 |
$0.00 |