| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
26,053 |
16,876 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,429 |
1,840 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,590 |
1,980 |
$116K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,500 |
1,082 |
$14K |
| 80306 |
|
200 |
186 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,071 |
972 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
35 |
$708.56 |
| 90688 |
|
77 |
59 |
$506.85 |