| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,084 |
4,572 |
$2.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
71 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$44.70 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
52 |
$0.00 |