| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,014 |
1,822 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
2,304 |
$72K |
| 90688 |
|
197 |
188 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,429 |
1,364 |
$2K |
| 82962 |
|
1,347 |
1,155 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
120 |
$2K |
| 90686 |
|
37 |
36 |
$437.69 |
| 3074F |
|
45 |
34 |
$15.00 |
| 3079F |
|
43 |
32 |
$15.00 |
| 3078F |
|
34 |
27 |
$15.00 |
| 4037F |
|
61 |
54 |
$0.00 |