| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,498 |
3,787 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,522 |
1,298 |
$147K |
| 99441 |
|
144 |
117 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,091 |
1,054 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$2K |
| 90674 |
|
32 |
32 |
$750.98 |
| 90688 |
|
44 |
43 |
$725.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$676.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
42 |
$631.15 |
| 93000 |
|
16 |
13 |
$225.45 |
| 99000 |
|
41 |
40 |
$0.00 |