| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
592 |
498 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
105 |
$6K |
| 99490 |
Ccm add 20min |
157 |
94 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
39 |
$624.21 |
| 96127 |
|
88 |
56 |
$454.04 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
41 |
$112.20 |
| 99350 |
Prolong home eval add 15m |
18 |
16 |
$83.57 |
| 3725F |
|
250 |
206 |
$0.00 |
| 3078F |
|
263 |
233 |
$0.00 |
| 1160F |
|
470 |
376 |
$0.00 |
| 1159F |
|
471 |
377 |
$0.00 |
| 99072 |
|
23 |
19 |
$0.00 |
| 1036F |
|
335 |
282 |
$0.00 |
| 3008F |
|
479 |
407 |
$0.00 |
| 3074F |
|
326 |
286 |
$0.00 |
| 3079F |
|
20 |
15 |
$0.00 |