| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
962 |
847 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
323 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
28 |
$433.57 |
| 90674 |
|
34 |
28 |
$420.33 |
| 80305 |
|
26 |
25 |
$150.33 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$10.50 |