| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,834 |
1,683 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,302 |
1,172 |
$38K |
| 99000 |
|
145 |
140 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
67 |
60 |
$1K |
| 90756 |
|
29 |
29 |
$279.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$87.41 |
| 36415 |
Collection of venous blood by venipuncture |
170 |
160 |
$0.00 |