| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,015 |
2,323 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,725 |
2,218 |
$90K |
| 80305 |
|
1,532 |
1,230 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
13 |
$213.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$213.11 |
| 90686 |
|
32 |
16 |
$212.51 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
25 |
$46.80 |
| 4004F |
|
1,135 |
947 |
$0.00 |
| 3078F |
|
1,045 |
876 |
$0.00 |
| 3077F |
|
58 |
53 |
$0.00 |
| 3008F |
|
1,997 |
1,647 |
$0.00 |
| 1125F |
|
1,757 |
1,432 |
$0.00 |
| 3074F |
|
1,277 |
1,062 |
$0.00 |
| 3079F |
|
406 |
355 |
$0.00 |
| 3075F |
|
99 |
89 |
$0.00 |
| 1126F |
|
16 |
12 |
$0.00 |