| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
367 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
298 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
132 |
$9K |
| 93000 |
|
104 |
101 |
$1K |
| 94010 |
|
40 |
39 |
$789.44 |
| 90674 |
|
34 |
31 |
$762.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
48 |
$688.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
25 |
$596.79 |
| 92552 |
|
12 |
12 |
$337.67 |
| 99173 |
|
60 |
59 |
$124.07 |
| 36415 |
Collection of venous blood by venipuncture |
262 |
249 |
$118.14 |
| 3008F |
|
418 |
338 |
$0.01 |
| 1160F |
|
44 |
42 |
$0.00 |