| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,965 |
2,481 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,319 |
1,451 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
200 |
148 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
79 |
$165.40 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
30 |
$57.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
14 |
$0.28 |
| 80305 |
|
242 |
215 |
$0.00 |