| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,136 |
1,763 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,629 |
1,397 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$2K |
| 80305 |
|
150 |
103 |
$825.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$783.21 |
| 99201 |
|
14 |
14 |
$440.72 |
| 90688 |
|
16 |
13 |
$53.52 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
15 |
$53.16 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
38 |
32 |
$27.99 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$19.96 |