| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,303 |
5,724 |
$397K |
| 99442 |
|
373 |
335 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
200 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
261 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
402 |
397 |
$7K |
| 90756 |
|
154 |
154 |
$4K |
| 90674 |
|
156 |
156 |
$4K |
| 90688 |
|
139 |
137 |
$3K |
| 99497 |
|
79 |
79 |
$2K |
| 99441 |
|
13 |
12 |
$639.81 |
| 36415 |
Collection of venous blood by venipuncture |
756 |
754 |
$569.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$310.89 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$196.83 |