| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,519 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
63 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
121 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$1K |
| 90756 |
|
31 |
31 |
$787.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$774.90 |
| 99072 |
|
94 |
79 |
$537.50 |
| 81000 |
|
86 |
86 |
$268.04 |
| 90688 |
|
14 |
14 |
$249.06 |
| 81003 |
|
71 |
71 |
$139.49 |
| 36415 |
Collection of venous blood by venipuncture |
294 |
287 |
$112.39 |
| 81002 |
|
19 |
19 |
$47.72 |