| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,293 |
5,725 |
$496K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
947 |
871 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
301 |
$33K |
| 94010 |
|
723 |
720 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
149 |
$13K |
| 93000 |
|
817 |
814 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
140 |
$2K |
| 90686 |
|
53 |
53 |
$1K |
| 90688 |
|
53 |
53 |
$937.17 |
| 3078F |
|
656 |
590 |
$780.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$549.51 |
| 3074F |
|
382 |
347 |
$465.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,341 |
1,327 |
$396.98 |
| 90656 |
|
14 |
14 |
$276.92 |
| 94760 |
|
1,041 |
804 |
$167.52 |
| 3075F |
|
56 |
54 |
$65.00 |
| 3077F |
|
47 |
41 |
$32.50 |
| 3079F |
|
27 |
24 |
$25.00 |
| 99072 |
|
38 |
30 |
$0.00 |