| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,573 |
1,385 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
314 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
958 |
832 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
824 |
735 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$1K |
| 93000 |
|
27 |
27 |
$247.62 |
| 81002 |
|
365 |
345 |
$2.44 |
| 90656 |
|
24 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
19 |
$0.00 |