| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,384 |
1,088 |
$62K |
| 99215 |
Prolong outpt/office vis |
936 |
754 |
$55K |
| 99199 |
Unlisted special service, procedure or report |
587 |
502 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
322 |
182 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
860 |
682 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
12 |
$488.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
50 |
$263.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$246.20 |
| 80305 |
|
15 |
13 |
$149.71 |
| 99406 |
|
23 |
12 |
$89.13 |
| 90688 |
|
17 |
14 |
$16.67 |