| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,087 |
1,811 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
99 |
$5K |
| 90662 |
|
27 |
25 |
$1K |
| 99072 |
|
90 |
80 |
$491.55 |
| 90682 |
|
14 |
14 |
$487.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
23 |
$355.21 |
| 90688 |
|
21 |
20 |
$285.44 |
| 94760 |
|
16 |
12 |
$23.76 |
| 99000 |
|
45 |
42 |
$4.00 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
41 |
$3.59 |