| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,783 |
3,377 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,730 |
3,190 |
$228K |
| 94060 |
|
1,695 |
1,618 |
$65K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
70 |
$1K |
| 90686 |
|
39 |
37 |
$580.17 |
| 93000 |
|
39 |
39 |
$512.63 |
| 94729 |
|
12 |
12 |
$422.98 |
| 90756 |
|
15 |
15 |
$344.91 |
| 94727 |
|
12 |
12 |
$323.70 |
| 90658 |
|
17 |
15 |
$319.68 |
| 81002 |
|
120 |
120 |
$182.55 |
| 36415 |
Collection of venous blood by venipuncture |
584 |
580 |
$134.28 |