| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,358 |
3,132 |
$326K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,608 |
1,689 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
719 |
566 |
$29K |
| 99384 |
|
36 |
36 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
43 |
41 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
917 |
713 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
233 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
88 |
$1K |
| 86580 |
|
175 |
166 |
$843.11 |