| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,029 |
3,630 |
$225K |
| 90756 |
|
113 |
107 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
26 |
$2K |
| 99000 |
|
425 |
384 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
414 |
376 |
$953.45 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
95 |
88 |
$879.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
106 |
$515.37 |
| 81000 |
|
16 |
12 |
$47.45 |
| G0008 |
Administration of influenza virus vaccine |
98 |
89 |
$44.42 |