| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,405 |
3,996 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
381 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
631 |
596 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,595 |
2,418 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 93000 |
|
67 |
67 |
$716.62 |
| 90686 |
|
99 |
98 |
$326.01 |
| 81002 |
|
89 |
86 |
$135.45 |
| 90756 |
|
23 |
23 |
$92.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$80.42 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$27.63 |