| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,131 |
979 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
107 |
$458.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$249.46 |
| 99000 |
|
256 |
240 |
$122.16 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
196 |
$100.80 |
| 90658 |
|
12 |
12 |
$80.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
120 |
$49.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
87 |
$9.00 |
| 82948 |
|
81 |
63 |
$5.36 |
| G8482 |
Influenza immunization administered or previously received |
50 |
46 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |