| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,841 |
1,529 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,391 |
1,085 |
$61K |
| 90686 |
|
90 |
77 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
269 |
216 |
$12.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
16 |
$0.00 |