| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,637 |
2,464 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
346 |
340 |
$4K |
| 90682 |
|
28 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
161 |
$816.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$440.88 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
157 |
$251.56 |
| 3008F |
|
559 |
536 |
$108.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$18.90 |
| 1159F |
|
569 |
528 |
$8.00 |
| 1160F |
|
523 |
486 |
$8.00 |
| 1034F |
|
12 |
12 |
$0.00 |