| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
214 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$924.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$753.89 |
| 90686 |
|
12 |
12 |
$161.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$121.48 |
| 1111F |
|
67 |
60 |
$70.00 |
| 3078F |
|
42 |
36 |
$50.00 |
| 3074F |
|
38 |
34 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
31 |
$24.35 |
| 3008F |
|
47 |
41 |
$10.00 |
| 3044F |
|
39 |
33 |
$0.00 |
| 99000 |
|
40 |
37 |
$0.00 |