| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,119 |
$71K |
| 99215 |
Prolong outpt/office vis |
338 |
299 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
51 |
$744.49 |
| 90686 |
|
31 |
27 |
$618.87 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$564.71 |
| 90656 |
|
18 |
13 |
$361.42 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$5.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
27 |
$0.00 |