| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,079 |
5,748 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,879 |
1,750 |
$80K |
| 95921 |
|
536 |
536 |
$23K |
| 93000 |
|
1,772 |
1,731 |
$15K |
| 99335 |
|
343 |
276 |
$14K |
| 81000 |
|
3,139 |
2,434 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$4K |
| 82947 |
|
1,215 |
1,020 |
$3K |
| 90756 |
|
103 |
102 |
$2K |
| 36410 |
|
589 |
573 |
$2K |
| 81003 |
|
1,796 |
1,549 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
84 |
$801.09 |
| 36415 |
Collection of venous blood by venipuncture |
1,528 |
1,449 |
$610.84 |
| 76775 |
|
30 |
30 |
$513.10 |
| 94010 |
|
29 |
29 |
$373.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$24.75 |
| 99491 |
Ccm add 20min |
14 |
14 |
$0.00 |