| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,975 |
2,409 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,434 |
1,133 |
$99K |
| 99490 |
Ccm add 20min |
1,148 |
1,094 |
$63K |
| 99072 |
|
713 |
483 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
427 |
389 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
22 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
45 |
$955.28 |
| 99439 |
|
12 |
12 |
$751.34 |
| 96127 |
|
99 |
53 |
$602.26 |
| 90686 |
|
42 |
37 |
$372.09 |
| 90688 |
|
37 |
27 |
$280.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$255.84 |