| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,160 |
1,663 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
354 |
$18K |
| 95923 |
|
236 |
193 |
$10K |
| 3008F |
|
2,993 |
2,210 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
213 |
$3K |
| 93922 |
|
84 |
62 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
197 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,198 |
961 |
$2K |
| 96127 |
|
674 |
515 |
$2K |
| 90686 |
|
118 |
94 |
$1K |
| 81002 |
|
569 |
439 |
$1K |
| 92551 |
|
250 |
189 |
$1K |
| 99173 |
|
274 |
201 |
$957.54 |
| 95943 |
|
50 |
33 |
$662.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$270.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$22.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
233 |
157 |
$0.00 |