| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,142 |
2,652 |
$108K |
| 99307 |
|
2,458 |
1,919 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,395 |
1,249 |
$2K |
| 90688 |
|
123 |
105 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
32 |
25 |
$1K |
| 90653 |
|
13 |
12 |
$183.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$98.59 |
| 90694 |
|
14 |
12 |
$61.67 |
| G0008 |
Administration of influenza virus vaccine |
72 |
63 |
$32.11 |