| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,779 |
1,471 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,477 |
1,166 |
$65K |
| 90674 |
|
16 |
16 |
$580.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$225.84 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
300 |
$81.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
271 |
229 |
$0.00 |
| 90673 |
|
70 |
65 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
117 |
114 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |