| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,316 |
3,150 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
264 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
106 |
91 |
$12K |
| 90688 |
|
310 |
260 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
622 |
530 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
62 |
$245.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
18 |
$0.00 |