| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
548 |
496 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
515 |
$32K |
| 99401 |
|
449 |
449 |
$9K |
| 93000 |
|
326 |
326 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
103 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 90688 |
|
62 |
62 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
748 |
714 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$886.38 |
| 90756 |
|
52 |
52 |
$612.44 |
| 96127 |
|
58 |
58 |
$225.28 |