| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,136 |
1,960 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
915 |
866 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
486 |
437 |
$5K |
| 99442 |
|
31 |
30 |
$898.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$464.32 |
| 0064A |
|
13 |
13 |
$451.03 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$205.73 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$37.98 |
| 90686 |
|
49 |
42 |
$23.50 |
| 90674 |
|
12 |
12 |
$6.00 |