| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,993 |
1,631 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
359 |
287 |
$9K |
| 3008F |
|
490 |
379 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
59 |
$658.07 |
| 3080F |
|
175 |
134 |
$540.00 |
| 3074F |
|
181 |
149 |
$490.00 |
| 3077F |
|
163 |
128 |
$460.00 |
| 90756 |
|
30 |
29 |
$416.96 |
| 3079F |
|
124 |
103 |
$360.00 |
| 36415 |
Collection of venous blood by venipuncture |
313 |
269 |
$228.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$213.32 |
| 3078F |
|
80 |
73 |
$170.00 |
| 3075F |
|
13 |
13 |
$50.00 |