| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,023 |
3,443 |
$293K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,111 |
1,041 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
42 |
$4K |
| 90688 |
|
32 |
32 |
$645.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$344.34 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
87 |
$42.31 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |