| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,876 |
13,622 |
$836K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,632 |
3,451 |
$182K |
| 90688 |
|
654 |
652 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
376 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
88 |
$4K |
| 81003 |
|
1,950 |
1,935 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,075 |
4,018 |
$605.75 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
42 |
41 |
$516.68 |
| 96127 |
|
368 |
368 |
$284.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$253.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$226.99 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$19.03 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$0.00 |