| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,246 |
1,961 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
771 |
$30K |
| 90682 |
|
79 |
73 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
113 |
$2K |
| 0012A |
|
54 |
34 |
$587.22 |
| 0031A |
|
17 |
17 |
$574.00 |
| 0011A |
|
38 |
29 |
$548.54 |
| 90674 |
|
13 |
12 |
$321.59 |
| 90686 |
|
14 |
14 |
$247.16 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
164 |
$202.38 |
| 96127 |
|
26 |
26 |
$122.26 |
| 91303 |
|
16 |
16 |
$0.01 |
| 3078F |
|
1,127 |
1,026 |
$0.00 |
| 3074F |
|
1,297 |
1,183 |
$0.00 |
| 3008F |
|
271 |
223 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 91301 |
|
30 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
12 |
$0.00 |