| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,170 |
3,748 |
$232K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,219 |
3,373 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
383 |
358 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
983 |
964 |
$2K |
| 90674 |
|
77 |
77 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90756 |
|
51 |
51 |
$992.95 |
| 93000 |
|
91 |
87 |
$678.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
184 |
$589.41 |
| 90688 |
|
60 |
50 |
$353.22 |
| 90656 |
|
20 |
20 |
$294.51 |
| G0008 |
Administration of influenza virus vaccine |
48 |
42 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |