| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
678 |
645 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
554 |
507 |
$20K |
| 99442 |
|
69 |
65 |
$936.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$521.39 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$508.04 |
| 99441 |
|
12 |
12 |
$93.14 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$5.31 |