| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,021 |
1,721 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
276 |
$26K |
| 92552 |
|
100 |
97 |
$3K |
| 92567 |
|
144 |
140 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
551 |
535 |
$2K |
| 93000 |
|
132 |
129 |
$1K |
| 99443 |
|
13 |
12 |
$878.53 |
| 94060 |
|
13 |
12 |
$549.84 |
| 81002 |
|
230 |
226 |
$382.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$308.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$242.66 |
| 94010 |
|
12 |
12 |
$172.88 |
| 99051 |
|
13 |
13 |
$134.78 |
| 90658 |
|
12 |
12 |
$116.07 |
| A4660 |
Sphygmomanometer/blood pressure apparatus with cuff and stethoscope |
62 |
46 |
$55.00 |
| 2010F |
|
59 |
46 |
$0.00 |
| 99080 |
|
82 |
30 |
$0.00 |