| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,187 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
302 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
275 |
253 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
247 |
78 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
428 |
417 |
$394.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$390.34 |
| 99441 |
|
27 |
25 |
$336.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$222.27 |