| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
979 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
131 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
909 |
853 |
$2K |
| 90673 |
|
49 |
46 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
110 |
$806.48 |
| 99442 |
|
36 |
35 |
$674.90 |
| 90682 |
|
13 |
13 |
$488.00 |
| 99000 |
|
13 |
13 |
$0.00 |