| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,934 |
8,769 |
$493K |
| 90674 |
|
497 |
447 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
736 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,636 |
4,304 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
222 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
101 |
$7K |
| 90756 |
|
227 |
211 |
$5K |
| 90661 |
|
75 |
66 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$907.10 |
| 99220 |
|
13 |
12 |
$866.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
46 |
13 |
$560.80 |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$480.24 |
| 99217 |
|
13 |
12 |
$393.30 |
| 3078F |
|
16 |
16 |
$0.00 |
| 3074F |
|
35 |
35 |
$0.00 |