| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,428 |
6,277 |
$355K |
| 93892 |
|
61 |
54 |
$8K |
| 93890 |
|
61 |
54 |
$5K |
| 93886 |
|
61 |
54 |
$5K |
| 90688 |
|
307 |
301 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
350 |
349 |
$4K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
234 |
232 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
213 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
31 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
783 |
750 |
$1K |
| 93000 |
|
75 |
67 |
$518.90 |