| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
560 |
$51K |
| 3008F |
|
639 |
533 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
24 |
$1K |
| 3078F |
|
136 |
108 |
$650.00 |
| 36415 |
Collection of venous blood by venipuncture |
290 |
231 |
$629.45 |
| 3074F |
|
114 |
90 |
$470.00 |
| 90688 |
|
20 |
12 |
$289.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$248.20 |
| 3079F |
|
38 |
27 |
$130.00 |
| 3075F |
|
22 |
16 |
$100.00 |
| 4037F |
|
28 |
18 |
$0.00 |