| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,457 |
3,792 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,020 |
3,462 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
997 |
919 |
$30K |
| 99401 |
|
650 |
602 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
91 |
90 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
57 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,750 |
1,651 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$2K |
| 99205 |
Prolong outpt/office vis |
29 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
24 |
$675.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
40 |
$451.24 |
| 3078F |
|
14 |
13 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |