| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,269 |
2,523 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,410 |
1,880 |
$57K |
| 99307 |
|
832 |
636 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
98 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
891 |
728 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
84 |
66 |
$451.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
50 |
$262.64 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
21 |
$220.80 |
| 81002 |
|
107 |
92 |
$91.64 |
| 80305 |
|
18 |
12 |
$71.75 |
| 90694 |
|
20 |
17 |
$0.00 |