| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
458 |
$722.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
124 |
$428.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$139.63 |
| 90674 |
|
13 |
13 |
$81.00 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
83 |
$65.10 |
| 96160 |
|
29 |
28 |
$3.23 |