| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,536 |
11,487 |
$737K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,738 |
4,207 |
$357K |
| 80305 |
|
12,738 |
10,263 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,826 |
1,677 |
$14K |
| 99205 |
Prolong outpt/office vis |
75 |
71 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
173 |
$7K |
| 99406 |
|
778 |
703 |
$6K |
| 90756 |
|
230 |
225 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
419 |
410 |
$5K |
| 99215 |
Prolong outpt/office vis |
36 |
33 |
$4K |
| 0011A |
|
38 |
37 |
$1K |
| 90636 |
|
14 |
13 |
$1K |
| 96160 |
|
66 |
66 |
$670.82 |
| 36415 |
Collection of venous blood by venipuncture |
276 |
267 |
$659.10 |
| 0012A |
|
13 |
12 |
$460.26 |
| 90686 |
|
20 |
20 |
$352.80 |
| 90658 |
|
26 |
26 |
$285.16 |
| 99407 |
|
13 |
13 |
$189.05 |
| 91301 |
|
69 |
67 |
$0.00 |