| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,392 |
2,737 |
$204K |
| 0001A |
|
77 |
77 |
$3K |
| 0002A |
|
69 |
69 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
49 |
$3K |
| 90686 |
|
87 |
73 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,172 |
2,867 |
$1K |
| 0064A |
|
14 |
12 |
$510.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
44 |
$0.00 |