| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
801 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
257 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
51 |
$551.25 |
| 90674 |
|
16 |
16 |
$421.95 |
| 90688 |
|
39 |
38 |
$285.44 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |