| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
485 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
312 |
$12K |
| 80305 |
|
266 |
218 |
$834.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
42 |
$830.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
85 |
$463.36 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
239 |
$236.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$105.86 |
| 3008F |
|
15 |
15 |
$30.00 |
| 81002 |
|
33 |
25 |
$16.32 |
| 82962 |
|
18 |
13 |
$6.47 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
12 |
$5.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$4.78 |