| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,802 |
5,959 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,920 |
3,310 |
$146K |
| 99215 |
Prolong outpt/office vis |
352 |
330 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
30 |
$3K |
| 99497 |
|
46 |
45 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
94 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
162 |
$2K |
| 90686 |
|
127 |
122 |
$2K |
| 90674 |
|
22 |
22 |
$446.50 |
| 99442 |
|
14 |
14 |
$444.65 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
144 |
$357.65 |
| 3725F |
|
89 |
82 |
$0.00 |