| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,202 |
1,835 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
300 |
$12K |
| 90688 |
|
165 |
164 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
129 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
356 |
351 |
$1K |
| 36410 |
|
104 |
97 |
$647.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$644.29 |
| 99442 |
|
15 |
13 |
$209.40 |
| 96127 |
|
44 |
44 |
$121.09 |