| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,557 |
2,313 |
$139K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
164 |
$2K |
| 90686 |
|
86 |
86 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$812.70 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
152 |
$241.00 |
| 90654 |
|
15 |
15 |
$165.75 |
| 3008F |
|
22 |
22 |
$0.00 |