| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
380 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
135 |
$6K |
| 99215 |
Prolong outpt/office vis |
89 |
79 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$435.50 |
| 90686 |
|
18 |
17 |
$301.89 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$49.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$0.00 |