| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,267 |
1,850 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231 |
193 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
39 |
$957.59 |
| 90686 |
|
49 |
39 |
$184.77 |
| 36415 |
Collection of venous blood by venipuncture |
237 |
191 |
$145.96 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,214 |
996 |
$0.00 |
| 1036F |
|
1,238 |
1,017 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
275 |
230 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
364 |
310 |
$0.00 |