| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,476 |
2,010 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,274 |
1,021 |
$35K |
| 93000 |
|
591 |
587 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$3K |
| 94070 |
|
63 |
63 |
$1K |
| 92552 |
|
41 |
41 |
$796.60 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$788.90 |
| 93924 |
|
12 |
12 |
$701.19 |
| 81002 |
|
540 |
533 |
$553.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,600 |
1,511 |
$549.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$493.27 |
| 90674 |
|
13 |
13 |
$395.70 |
| 82274 |
|
56 |
55 |
$297.81 |
| 82270 |
|
25 |
25 |
$24.85 |