| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,317 |
3,964 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
304 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
2,163 |
2,083 |
$12K |
| 90682 |
|
93 |
87 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
120 |
$2K |
| 99442 |
|
16 |
13 |
$310.16 |
| 90686 |
|
12 |
12 |
$233.56 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$51.29 |
| 99000 |
|
29 |
28 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 96160 |
|
57 |
57 |
$0.00 |