| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,423 |
3,351 |
$160K |
| 36415 |
Collection of venous blood by venipuncture |
1,579 |
1,538 |
$2K |
| 90658 |
|
114 |
114 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
124 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$877.50 |
| 93000 |
|
66 |
59 |
$859.77 |
| 3075F |
|
140 |
135 |
$4.00 |
| 3074F |
|
14 |
12 |
$0.00 |