| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,794 |
5,882 |
$698K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,127 |
1,994 |
$263K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
301 |
273 |
$39K |
| 90682 |
|
403 |
403 |
$26K |
| 93000 |
|
1,189 |
1,183 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
946 |
911 |
$16K |
| 99051 |
|
759 |
674 |
$5K |
| 96127 |
|
755 |
735 |
$3K |
| 90750 |
|
13 |
13 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
78 |
78 |
$2K |
| 90673 |
|
23 |
23 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,334 |
1,317 |
$2K |
| 3078F |
|
138 |
132 |
$180.00 |
| 3074F |
|
114 |
111 |
$167.50 |
| 99000 |
|
863 |
849 |
$40.61 |
| 3044F |
|
14 |
13 |
$20.00 |
| 1159F |
|
389 |
349 |
$0.00 |
| 1160F |
|
389 |
349 |
$0.00 |