| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,579 |
3,457 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,763 |
3,568 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,806 |
1,786 |
$493.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
133 |
$470.60 |
| 90658 |
|
14 |
14 |
$194.52 |
| 3078F |
|
698 |
688 |
$24.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$18.06 |
| 3077F |
|
26 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 3074F |
|
545 |
536 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |