| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
239 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
108 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
289 |
284 |
$646.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$327.20 |
| 90686 |
|
13 |
13 |
$221.00 |