| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,391 |
2,210 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
500 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
812 |
752 |
$2K |
| 90756 |
|
66 |
66 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$387.94 |
| 93000 |
|
25 |
25 |
$185.51 |
| 1159F |
|
386 |
370 |
$1.70 |
| 3074F |
|
13 |
12 |
$0.00 |