| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,143 |
1,010 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
590 |
519 |
$16K |
| 90688 |
|
52 |
51 |
$613.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$316.74 |
| 90662 |
|
13 |
13 |
$165.39 |
| 36415 |
Collection of venous blood by venipuncture |
444 |
426 |
$96.42 |
| 96127 |
|
21 |
12 |
$54.80 |
| 99080 |
|
88 |
13 |
$0.00 |
| 99000 |
|
364 |
347 |
$0.00 |
| 3008F |
|
181 |
176 |
$0.00 |