| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,737 |
1,355 |
$69K |
| 90674 |
|
55 |
46 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
73 |
$862.68 |
| 90756 |
|
60 |
57 |
$823.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
31 |
$393.75 |
| 90688 |
|
17 |
15 |
$241.56 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$25.20 |