| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,123 |
1,764 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
638 |
$54K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$547.24 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
242 |
$341.67 |
| 90686 |
|
17 |
17 |
$334.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$75.00 |