| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,795 |
1,514 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
539 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$963.12 |
| 93000 |
|
108 |
106 |
$884.06 |
| 90658 |
|
87 |
87 |
$791.42 |
| 36415 |
Collection of venous blood by venipuncture |
458 |
457 |
$730.75 |
| 99001 |
|
37 |
37 |
$180.14 |