| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,525 |
10,987 |
$1.15M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,204 |
1,199 |
$125K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
337 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
630 |
578 |
$21K |
| 90756 |
|
171 |
170 |
$5K |
| 90688 |
|
239 |
238 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
529 |
522 |
$3K |
| 86328 |
|
74 |
74 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,255 |
4,158 |
$2K |
| 90674 |
|
18 |
17 |
$454.32 |
| 90686 |
|
13 |
13 |
$259.39 |
| 99072 |
|
83 |
81 |
$0.00 |