| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,974 |
4,394 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,982 |
1,860 |
$121K |
| 36415 |
Collection of venous blood by venipuncture |
1,898 |
1,740 |
$5K |
| 90756 |
|
241 |
236 |
$5K |
| 90661 |
|
15 |
15 |
$515.90 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$154.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |