| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,398 |
3,316 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,752 |
2,397 |
$239K |
| 98927 |
|
653 |
490 |
$29K |
| 93000 |
|
372 |
371 |
$5K |
| 99443 |
|
26 |
25 |
$2K |
| 98928 |
|
15 |
12 |
$920.63 |
| 99442 |
|
12 |
12 |
$504.45 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
34 |
34 |
$369.00 |
| 90686 |
|
16 |
16 |
$305.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$287.96 |
| 36415 |
Collection of venous blood by venipuncture |
365 |
364 |
$168.72 |
| 99173 |
|
43 |
43 |
$41.65 |
| 99000 |
|
13 |
13 |
$0.00 |