| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,738 |
1,515 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
999 |
$70K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
58 |
58 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$1K |
| 90686 |
|
38 |
38 |
$511.18 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$35.00 |