| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
928 |
757 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
242 |
$24K |
| 99401 |
|
914 |
701 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
204 |
$3K |
| 90686 |
|
138 |
137 |
$2K |
| 90746 |
|
32 |
32 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
103 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$923.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
17 |
$485.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$208.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
85 |
71 |
$107.80 |
| 36415 |
Collection of venous blood by venipuncture |
342 |
331 |
$23.49 |
| 99000 |
|
362 |
346 |
$0.00 |