| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,185 |
4,458 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,301 |
1,157 |
$78K |
| 99442 |
|
672 |
583 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
117 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
57 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
518 |
471 |
$851.23 |
| 90658 |
|
44 |
41 |
$525.29 |
| 90756 |
|
34 |
30 |
$336.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
22 |
$216.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
157 |
141 |
$190.38 |
| G0008 |
Administration of influenza virus vaccine |
17 |
12 |
$0.00 |