| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
639 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
538 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
914 |
854 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
150 |
140 |
$115.22 |
| 90688 |
|
14 |
13 |
$81.90 |
| 82947 |
|
42 |
36 |
$28.26 |
| G0008 |
Administration of influenza virus vaccine |
107 |
105 |
$4.00 |
| 3074F |
|
169 |
162 |
$0.00 |
| 90662 |
|
20 |
20 |
$0.00 |
| 3078F |
|
257 |
244 |
$0.00 |