| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,512 |
5,722 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,896 |
2,670 |
$141K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
453 |
413 |
$39K |
| 99215 |
Prolong outpt/office vis |
316 |
286 |
$23K |
| 90686 |
|
919 |
892 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
795 |
773 |
$13K |
| 99205 |
Prolong outpt/office vis |
54 |
50 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,103 |
1,014 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
41 |
$648.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.74 |
| 3074F |
|
391 |
363 |
$1.82 |
| 3078F |
|
288 |
266 |
$1.33 |
| 3079F |
|
14 |
12 |
$0.09 |
| 3075F |
|
16 |
14 |
$0.08 |