| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
133 |
$8K |
| 90686 |
|
640 |
608 |
$7K |
| 90746 |
|
114 |
108 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
132 |
$5K |
| 0001A |
|
506 |
481 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
378 |
369 |
$4K |
| 0002A |
|
209 |
206 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
189 |
186 |
$2K |
| 90632 |
|
37 |
36 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
100 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$640.08 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$198.90 |
| 90715 |
|
82 |
80 |
$113.28 |
| 91300 |
|
306 |
272 |
$0.01 |
| 91301 |
|
31 |
22 |
$0.00 |
| 90734 |
|
151 |
149 |
$0.00 |
| 90662 |
|
31 |
31 |
$0.00 |