| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
408 |
$49K |
| 59425 |
|
451 |
201 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
425 |
254 |
$26K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,648 |
1,621 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
71 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
93 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
346 |
134 |
$1K |
| 81003 |
|
580 |
242 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$253.57 |
| 3008F |
|
229 |
128 |
$0.00 |
| 3074F |
|
41 |
29 |
$0.00 |
| 1159F |
|
2,099 |
895 |
$0.00 |
| 1160F |
|
811 |
403 |
$0.00 |