| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
949 |
846 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
965 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
259 |
240 |
$128.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
156 |
$21.44 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
89 |
$2.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
18 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 92551 |
|
16 |
16 |
$0.00 |