| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,743 |
1,401 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
170 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
79 |
$6K |
| 90674 |
|
83 |
82 |
$1K |
| 96127 |
|
264 |
189 |
$989.38 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
286 |
$620.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$486.39 |