| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,909 |
1,771 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,109 |
1,008 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
974 |
737 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
97 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
928 |
897 |
$1K |
| 90686 |
|
62 |
62 |
$553.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$357.14 |
| 90688 |
|
17 |
17 |
$236.53 |
| 90674 |
|
15 |
15 |
$211.00 |
| 3008F |
|
561 |
550 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$9.53 |