| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,103 |
2,754 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
980 |
$65K |
| 36415 |
Collection of venous blood by venipuncture |
818 |
758 |
$3K |
| 93000 |
|
102 |
98 |
$1K |
| 90715 |
|
12 |
12 |
$371.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$183.96 |
| 81003 |
|
122 |
116 |
$19.26 |