| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
449 |
$35K |
| 99215 |
Prolong outpt/office vis |
64 |
60 |
$3K |
| 90686 |
|
70 |
50 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
30 |
$17.68 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |