| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,235 |
4,979 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,158 |
3,826 |
$236K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 90756 |
|
65 |
65 |
$2K |
| 90686 |
|
84 |
84 |
$2K |
| 96127 |
|
429 |
429 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
184 |
$907.85 |
| 90656 |
|
14 |
14 |
$312.08 |
| 36415 |
Collection of venous blood by venipuncture |
2,245 |
2,210 |
$216.75 |
| 82270 |
|
15 |
15 |
$51.00 |