| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,666 |
1,438 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,196 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
15 |
$323.70 |
| 90686 |
|
20 |
15 |
$287.99 |
| 81003 |
|
27 |
26 |
$57.06 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
38 |
$4.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$0.00 |