| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,082 |
2,740 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
439 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
333 |
307 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
155 |
152 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$580.50 |
| 90686 |
|
54 |
54 |
$418.66 |
| 20610 |
|
12 |
12 |
$367.51 |
| 99354 |
|
16 |
16 |
$306.20 |
| 36415 |
Collection of venous blood by venipuncture |
326 |
303 |
$299.25 |
| 90674 |
|
26 |
26 |
$240.50 |
| 82570 |
|
36 |
34 |
$101.27 |
| 81002 |
|
83 |
80 |
$80.67 |
| 81003 |
|
36 |
34 |
$43.89 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$27.25 |
| G0008 |
Administration of influenza virus vaccine |
50 |
50 |
$0.00 |