| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
299 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| 90686 |
|
30 |
30 |
$501.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$427.88 |
| 93000 |
|
26 |
26 |
$421.18 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
170 |
$288.12 |
| 96160 |
|
14 |
14 |
$37.39 |