| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,686 |
17,671 |
$1.61M |
| 99215 |
Prolong outpt/office vis |
4,528 |
3,730 |
$398K |
| 99205 |
Prolong outpt/office vis |
840 |
691 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,189 |
1,803 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
291 |
$30K |
| 93000 |
|
2,889 |
2,461 |
$20K |
| 90662 |
|
46 |
45 |
$388.43 |
| 90688 |
|
28 |
24 |
$333.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
38 |
$129.42 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
57 |
$92.48 |
| G0008 |
Administration of influenza virus vaccine |
80 |
59 |
$50.71 |