| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,627 |
3,892 |
$168K |
| 80305 |
|
1,575 |
1,126 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
251 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
203 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
50 |
$3K |
| 96127 |
|
469 |
443 |
$1K |
| 90686 |
|
116 |
116 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$923.68 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
116 |
$589.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
65 |
$522.31 |
| 81025 |
|
38 |
38 |
$297.10 |
| 90656 |
|
20 |
20 |
$168.08 |
| 1159F |
|
1,047 |
855 |
$47.44 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1160F |
|
945 |
768 |
$0.00 |