| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
1,598 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,617 |
1,176 |
$92K |
| 99348 |
|
147 |
119 |
$6K |
| 99349 |
|
132 |
111 |
$6K |
| 90682 |
|
63 |
51 |
$3K |
| 99072 |
|
380 |
330 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
138 |
$3K |
| 90686 |
|
43 |
41 |
$735.24 |
| 36415 |
Collection of venous blood by venipuncture |
432 |
334 |
$549.09 |
| 96127 |
|
83 |
69 |
$497.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$264.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$227.70 |
| 90688 |
|
18 |
13 |
$191.52 |
| 90662 |
|
54 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
54 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$0.00 |