| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
776 |
710 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$820.92 |
| 96127 |
|
35 |
34 |
$359.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$245.40 |
| 90686 |
|
12 |
12 |
$171.27 |
| 36415 |
Collection of venous blood by venipuncture |
470 |
456 |
$8.85 |