| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,172 |
2,315 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
492 |
384 |
$18K |
| 99199 |
Unlisted special service, procedure or report |
2,039 |
1,899 |
$4K |
| 36000 |
|
222 |
189 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
280 |
161 |
$2K |
| 90756 |
|
68 |
40 |
$520.93 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
188 |
$443.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$282.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
25 |
$178.59 |
| 99000 |
|
281 |
234 |
$0.00 |