| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,229 |
5,547 |
$77K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
254 |
253 |
$2K |
| 93000 |
|
327 |
326 |
$2K |
| 64520 |
|
16 |
14 |
$501.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$441.23 |
| 36415 |
Collection of venous blood by venipuncture |
647 |
634 |
$179.75 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
105 |
105 |
$127.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 90674 |
|
44 |
44 |
$0.00 |