| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,888 |
1,711 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
36 |
$755.42 |
| 90688 |
|
120 |
119 |
$746.44 |
| 99490 |
Ccm add 20min |
28 |
14 |
$157.58 |
| 90662 |
|
64 |
49 |
$131.83 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
31 |
12 |
$80.91 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
45 |
$70.00 |
| G0008 |
Administration of influenza virus vaccine |
169 |
136 |
$0.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |