| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
257 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
76 |
$2K |
| 90688 |
|
22 |
20 |
$137.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$127.90 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
15 |
$26.16 |
| 3008F |
|
17 |
15 |
$0.00 |