| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
794 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
288 |
$14K |
| 99406 |
|
267 |
241 |
$1K |
| 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) |
247 |
193 |
$1K |
| 99442 |
|
12 |
12 |
$211.49 |
| 90688 |
|
13 |
13 |
$89.20 |
| 82947 |
|
123 |
100 |
$88.45 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$28.00 |
| 36415 |
Collection of venous blood by venipuncture |
125 |
118 |
$8.80 |
| 81003 |
|
12 |
12 |
$0.00 |