| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,648 |
9,261 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,814 |
1,617 |
$107K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
72 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$813.57 |
| 0002A |
|
17 |
17 |
$595.00 |
| 0001A |
|
32 |
32 |
$584.92 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17 |
17 |
$550.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$447.37 |
| 36415 |
Collection of venous blood by venipuncture |
832 |
787 |
$365.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$0.00 |
| 91300 |
|
52 |
50 |
$0.00 |