| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,405 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
100 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
35 |
$474.76 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
335 |
$407.57 |
| 81000 |
|
136 |
132 |
$371.61 |
| 90686 |
|
18 |
18 |
$286.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
39 |
$204.92 |
| 82043 |
|
12 |
12 |
$32.19 |