| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,530 |
1,220 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
216 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
32 |
$2K |
| 96127 |
|
40 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
56 |
$496.32 |
| 90686 |
|
64 |
43 |
$485.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
29 |
$64.02 |
| S9452 |
Nutrition classes, non-physician provider, per session |
19 |
19 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
24 |
23 |
$0.00 |