| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
192 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
29 |
$1K |
| 90686 |
|
45 |
30 |
$764.74 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
24 |
$150.48 |
| 99000 |
|
21 |
12 |
$68.75 |