| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,282 |
859 |
$27K |
| 99199 |
Unlisted special service, procedure or report |
4,596 |
2,468 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
417 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
1,609 |
1,060 |
$765.57 |
| 99490 |
Ccm add 20min |
52 |
37 |
$194.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
14 |
$79.03 |
| 90688 |
|
19 |
16 |
$49.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$46.85 |
| 81000 |
|
46 |
26 |
$27.37 |
| 90674 |
|
27 |
18 |
$0.00 |