| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,993 |
6,144 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,306 |
2,963 |
$117K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,755 |
1,109 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
3,874 |
3,676 |
$11K |
| 99442 |
|
123 |
116 |
$2K |
| 90688 |
|
46 |
46 |
$642.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$521.87 |
| 99457 |
|
304 |
215 |
$244.46 |
| 90682 |
|
13 |
13 |
$243.92 |
| 99454 |
|
81 |
62 |
$111.54 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |