| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,087 |
1,814 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
713 |
650 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
96 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
160 |
137 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
159 |
142 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$895.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
450 |
403 |
$836.83 |
| 90686 |
|
94 |
86 |
$652.50 |
| 90670 |
|
85 |
75 |
$557.30 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$37.00 |
| 90723 |
|
74 |
67 |
$0.00 |
| 90680 |
|
59 |
53 |
$0.00 |
| 90648 |
|
86 |
76 |
$0.00 |