| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
196 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
142 |
136 |
$732.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
17 |
$678.64 |
| 90656 |
|
25 |
25 |
$444.75 |
| 96127 |
|
49 |
47 |
$320.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$135.48 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
256 |
241 |
$6.84 |