| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
839 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
162 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
27 |
$408.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
24 |
$147.78 |
| 90686 |
|
12 |
12 |
$6.00 |