| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,144 |
2,081 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,024 |
981 |
$47K |
| 90674 |
|
82 |
82 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
133 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90756 |
|
21 |
21 |
$350.13 |
| 90686 |
|
19 |
19 |
$348.74 |
| 36415 |
Collection of venous blood by venipuncture |
191 |
182 |
$112.63 |
| 3074F |
|
233 |
228 |
$6.00 |
| 3078F |
|
237 |
229 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |