| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
86 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
61 |
$4K |
| 90756 |
|
13 |
12 |
$304.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$300.54 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
130 |
$261.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$256.60 |
| 90688 |
|
14 |
14 |
$249.76 |