| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
193 |
190 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,646 |
1,574 |
$5K |
| 90674 |
|
255 |
252 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
316 |
$862.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$200.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |