| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
132 |
$10K |
| 99385 |
|
51 |
51 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$312.84 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
123 |
$245.11 |
| 90686 |
|
16 |
16 |
$217.60 |