| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,182 |
2,104 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,893 |
1,810 |
$117K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
357 |
354 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
180 |
177 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
279 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,215 |
2,170 |
$9K |
| 99385 |
|
25 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$689.81 |
| 93000 |
|
31 |
31 |
$605.77 |
| 90686 |
|
34 |
34 |
$566.89 |
| 90658 |
|
17 |
17 |
$269.40 |
| 99000 |
|
2,256 |
2,222 |
$12.40 |