| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,751 |
1,580 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,373 |
1,051 |
$5K |
| 90656 |
|
136 |
110 |
$209.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
68 |
$55.03 |
| 36415 |
Collection of venous blood by venipuncture |
414 |
299 |
$45.22 |
| G0008 |
Administration of influenza virus vaccine |
62 |
61 |
$6.25 |
| 90756 |
|
63 |
62 |
$0.00 |