| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,302 |
1,150 |
$55K |
| 99215 |
Prolong outpt/office vis |
109 |
101 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
94 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
181 |
176 |
$1K |
| 90686 |
|
32 |
32 |
$612.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
44 |
$588.77 |
| 90656 |
|
14 |
14 |
$370.83 |