| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
687 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
65 |
$1K |
| 90688 |
|
64 |
62 |
$665.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$299.00 |
| 36415 |
Collection of venous blood by venipuncture |
291 |
272 |
$286.31 |
| 90658 |
|
15 |
12 |
$193.14 |
| 3078F |
|
73 |
69 |
$0.00 |
| 3008F |
|
270 |
249 |
$0.00 |
| 3074F |
|
108 |
102 |
$0.00 |
| 99000 |
|
72 |
59 |
$0.00 |
| 3044F |
|
46 |
39 |
$0.00 |