| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
1,378 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
426 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
1,855 |
1,792 |
$3K |
| 93000 |
|
311 |
308 |
$2K |
| 90674 |
|
47 |
47 |
$638.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
42 |
$419.49 |
| 90756 |
|
14 |
14 |
$283.74 |
| 90661 |
|
40 |
40 |
$164.85 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$87.20 |
| 82947 |
|
95 |
93 |
$82.53 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$72.41 |
| 99000 |
|
1,038 |
983 |
$12.90 |
| 3074F |
|
1,175 |
1,096 |
$5.00 |
| 1160F |
|
838 |
788 |
$3.14 |
| 3078F |
|
635 |
605 |
$2.50 |
| 1170F |
|
833 |
785 |
$0.00 |
| 3008F |
|
639 |
604 |
$0.00 |
| 1125F |
|
839 |
790 |
$0.00 |
| 3079F |
|
86 |
83 |
$0.00 |
| 1159F |
|
837 |
788 |
$0.00 |