| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,987 |
1,839 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
299 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
102 |
45 |
$6K |
| 99406 |
|
548 |
522 |
$4K |
| 11721 |
|
260 |
259 |
$4K |
| 90674 |
|
59 |
58 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
30 |
$1K |
| 99307 |
|
51 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
57 |
$513.19 |
| 36415 |
Collection of venous blood by venipuncture |
199 |
191 |
$439.95 |
| 99348 |
|
17 |
17 |
$383.44 |
| 93000 |
|
30 |
29 |
$237.28 |
| 11056 |
|
14 |
14 |
$149.18 |
| 1159F |
|
27 |
26 |
$0.00 |
| 3008F |
|
23 |
20 |
$0.00 |