| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
800 |
717 |
$58K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,468 |
1,397 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
29 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
120 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
15 |
13 |
$2K |
| 99000 |
|
767 |
664 |
$297.04 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
58 |
$154.59 |
| 90688 |
|
17 |
14 |
$142.72 |
| 81002 |
|
13 |
13 |
$38.28 |