| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
394 |
354 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
136 |
$656.16 |
| 99384 |
|
15 |
15 |
$444.36 |
| 92551 |
|
183 |
178 |
$128.09 |
| 99188 |
|
18 |
18 |
$35.82 |
| 99000 |
|
79 |
75 |
$21.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$13.25 |
| 81001 |
|
12 |
12 |
$2.74 |
| 85018 |
|
45 |
45 |
$2.05 |
| 2001F |
|
223 |
203 |
$0.00 |
| 3008F |
|
193 |
180 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
93 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
38 |
$0.00 |
| 3074F |
|
23 |
22 |
$0.00 |
| 2000F |
|
32 |
32 |
$0.00 |
| 99401 |
|
174 |
160 |
$0.00 |
| 99071 |
|
224 |
214 |
$0.00 |
| 99173 |
|
122 |
119 |
$0.00 |
| 3078F |
|
22 |
21 |
$0.00 |