| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,567 |
7,015 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,473 |
4,104 |
$163K |
| 93000 |
|
1,143 |
1,137 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90682 |
|
13 |
13 |
$848.51 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$793.50 |
| 36415 |
Collection of venous blood by venipuncture |
343 |
338 |
$442.98 |
| 90662 |
|
12 |
12 |
$184.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$98.01 |
| 99051 |
|
56 |
54 |
$11.76 |
| 1159F |
|
67 |
57 |
$0.00 |
| 1160F |
|
67 |
57 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |