| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,239 |
3,700 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,423 |
1,823 |
$109K |
| 99215 |
Prolong outpt/office vis |
426 |
402 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
1,422 |
1,284 |
$3K |
| 93000 |
|
189 |
180 |
$2K |
| 90688 |
|
139 |
130 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
159 |
157 |
$891.25 |
| 94060 |
|
16 |
16 |
$837.87 |
| 81002 |
|
305 |
286 |
$753.33 |
| 82270 |
|
13 |
12 |
$33.30 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
13 |
$0.00 |