| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
1,642 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,825 |
1,417 |
$84K |
| 99199 |
Unlisted special service, procedure or report |
13,440 |
12,905 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
1,737 |
1,408 |
$3K |
| 96127 |
|
192 |
158 |
$491.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
30 |
$418.30 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
28 |
23 |
$65.09 |
| 92551 |
|
14 |
12 |
$8.42 |
| 85018 |
|
14 |
12 |
$3.07 |
| 99173 |
|
26 |
24 |
$0.00 |