| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,755 |
9,342 |
$474K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,512 |
5,188 |
$246K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
390 |
389 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
3,320 |
3,168 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
180 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 90686 |
|
74 |
74 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$914.21 |
| 99442 |
|
44 |
37 |
$445.74 |
| 90688 |
|
14 |
14 |
$221.47 |
| 90662 |
|
14 |
14 |
$83.01 |