| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
945 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
591 |
$33K |
| 90686 |
|
246 |
150 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
17 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
86 |
47 |
$350.98 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$20.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
45 |
$0.00 |