| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,570 |
3,768 |
$321K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
112 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$3K |
| 96160 |
|
45 |
29 |
$378.59 |
| 90686 |
|
22 |
16 |
$355.51 |
| 81002 |
|
13 |
12 |
$33.80 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
28 |
$23.00 |
| 3078F |
|
149 |
133 |
$0.00 |
| 1160F |
|
361 |
316 |
$0.00 |
| 1159F |
|
317 |
277 |
$0.00 |
| 3725F |
|
312 |
278 |
$0.00 |
| 4004F |
|
115 |
89 |
$0.00 |
| 1036F |
|
1,703 |
1,319 |
$0.00 |
| 3008F |
|
304 |
267 |
$0.00 |
| 3017F |
|
153 |
114 |
$0.00 |
| 3074F |
|
191 |
172 |
$0.00 |
| 1126F |
|
156 |
140 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |