| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
995 |
746 |
$67K |
| 99310 |
Prolong nursin fac eval 15m |
817 |
231 |
$64K |
| 99306 |
Prolong nursin fac eval 15m |
105 |
101 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
135 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
299 |
216 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
338 |
319 |
$861.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$784.32 |
| 90688 |
|
51 |
47 |
$219.50 |