| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,235 |
1,693 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
401 |
$36K |
| 90756 |
|
14 |
14 |
$370.25 |
| 36415 |
Collection of venous blood by venipuncture |
569 |
558 |
$269.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$114.38 |