| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,819 |
7,834 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,292 |
2,463 |
$95K |
| 99215 |
Prolong outpt/office vis |
508 |
345 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
193 |
$4K |
| 99205 |
Prolong outpt/office vis |
30 |
25 |
$3K |
| 90658 |
|
65 |
54 |
$584.60 |
| 99442 |
|
29 |
27 |
$412.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
33 |
$364.80 |
| 90674 |
|
14 |
12 |
$129.12 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
35 |
$41.58 |
| G0008 |
Administration of influenza virus vaccine |
53 |
45 |
$0.00 |