| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,727 |
4,986 |
$304K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,758 |
1,557 |
$72K |
| 0012A |
|
388 |
385 |
$14K |
| 0011A |
|
367 |
363 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,382 |
1,136 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
24 |
$2K |
| 0031A |
|
29 |
29 |
$1K |
| 90674 |
|
39 |
37 |
$869.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$813.68 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$776.11 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$565.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$321.21 |
| 81025 |
|
16 |
13 |
$69.79 |
| 91301 |
|
96 |
92 |
$0.00 |
| 3725F |
|
77 |
72 |
$0.00 |