| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,292 |
10,262 |
$981K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,414 |
6,526 |
$363K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,522 |
2,426 |
$323K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
659 |
650 |
$80K |
| 90686 |
|
1,814 |
1,812 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,198 |
2,161 |
$35K |
| 93000 |
|
1,957 |
1,949 |
$25K |
| 94010 |
|
400 |
399 |
$11K |
| 99442 |
|
170 |
164 |
$11K |
| 99441 |
|
252 |
243 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
6,057 |
5,986 |
$4K |
| 0013A |
|
80 |
80 |
$3K |
| 90715 |
|
53 |
53 |
$3K |
| 90750 |
|
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
61 |
$1K |
| 92587 |
|
101 |
101 |
$1K |
| 0011A |
|
24 |
24 |
$720.00 |
| 0012A |
|
18 |
18 |
$540.00 |
| 0031A |
|
17 |
17 |
$510.00 |
| 91301 |
|
137 |
136 |
$0.26 |
| 91303 |
|
15 |
15 |
$0.00 |