| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,714 |
2,453 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,043 |
1,853 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
142 |
$11K |
| 90756 |
|
101 |
96 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
112 |
$871.49 |
| 99215 |
Prolong outpt/office vis |
29 |
26 |
$818.53 |
| 36415 |
Collection of venous blood by venipuncture |
345 |
328 |
$800.56 |
| 90688 |
|
19 |
19 |
$289.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
33 |
$96.72 |