| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,511 |
1,327 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
424 |
$27K |
| 90688 |
|
52 |
52 |
$830.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
23 |
$554.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$474.75 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
110 |
$273.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$159.98 |
| 90686 |
|
13 |
13 |
$124.02 |
| 99001 |
|
36 |
35 |
$92.00 |