| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,767 |
1,572 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
102 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$770.10 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
24 |
$166.63 |
| 90686 |
|
13 |
13 |
$6.50 |