| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
869 |
829 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
587 |
543 |
$17K |
| 90756 |
|
112 |
100 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
102 |
$955.92 |
| H0049 |
Alcohol and/or drug screening |
16 |
12 |
$186.83 |
| 81002 |
|
43 |
38 |
$84.00 |
| 90653 |
|
27 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
625 |
601 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
60 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |
| 96127 |
|
16 |
12 |
$0.00 |