| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,511 |
1,467 |
$68K |
| 99199 |
Unlisted special service, procedure or report |
4,465 |
4,295 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
130 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
751 |
436 |
$321.93 |
| G0008 |
Administration of influenza virus vaccine |
30 |
17 |
$0.00 |