| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,162 |
854 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
127 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
241 |
169 |
$2K |
| 90674 |
|
82 |
70 |
$623.31 |
| 36415 |
Collection of venous blood by venipuncture |
316 |
252 |
$215.33 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
126 |
92 |
$104.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$26.34 |
| G0008 |
Administration of influenza virus vaccine |
54 |
45 |
$21.68 |