| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
673 |
626 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
54 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$706.99 |
| 90686 |
|
109 |
107 |
$582.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$413.66 |
| G0008 |
Administration of influenza virus vaccine |
121 |
119 |
$411.11 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
43 |
$44.10 |