| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,690 |
1,592 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,498 |
1,411 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
133 |
129 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,239 |
1,190 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 90686 |
|
298 |
250 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
105 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
79 |
$2K |
| 0012A |
|
65 |
65 |
$2K |
| 0011A |
|
50 |
50 |
$1K |
| 0013A |
|
33 |
32 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$762.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
57 |
$195.03 |
| 91301 |
|
82 |
78 |
$0.00 |