| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,665 |
5,835 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,681 |
1,533 |
$5K |
| 90674 |
|
59 |
59 |
$403.65 |
| 90686 |
|
30 |
30 |
$244.43 |
| 90661 |
|
13 |
13 |
$80.00 |
| 92557 |
|
13 |
13 |
$64.06 |
| 85018 |
|
62 |
62 |
$15.63 |
| 99000 |
|
499 |
479 |
$13.41 |
| 81002 |
|
304 |
291 |
$10.73 |
| 36415 |
Collection of venous blood by venipuncture |
363 |
348 |
$8.65 |
| 1160F |
|
572 |
522 |
$0.00 |
| 3078F |
|
602 |
559 |
$0.00 |
| 1159F |
|
578 |
529 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| 4013F |
|
351 |
321 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| 3074F |
|
603 |
557 |
$0.00 |
| 4010F |
|
304 |
271 |
$0.00 |
| 1125F |
|
91 |
84 |
$0.00 |
| 1126F |
|
176 |
160 |
$0.00 |
| 3008F |
|
446 |
405 |
$0.00 |
| 3075F |
|
58 |
55 |
$0.00 |
| 3044F |
|
224 |
207 |
$0.00 |
| 3079F |
|
112 |
101 |
$0.00 |
| 82043 |
|
138 |
127 |
$0.00 |
| 1036F |
|
18 |
15 |
$0.00 |
| 3048F |
|
100 |
91 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |