| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,777 |
1,729 |
$33K |
| 93000 |
|
1,843 |
1,778 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
359 |
$4K |
| 90756 |
|
107 |
107 |
$131.34 |
| G0008 |
Administration of influenza virus vaccine |
115 |
115 |
$86.73 |
| 36415 |
Collection of venous blood by venipuncture |
941 |
921 |
$85.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$27.70 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
38 |
38 |
$0.00 |