| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,244 |
1,970 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,230 |
1,926 |
$75K |
| 96127 |
|
1,129 |
949 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
40 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,334 |
1,142 |
$3K |
| 99443 |
|
21 |
20 |
$1K |
| 99385 |
|
13 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$960.18 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$788.86 |
| 90661 |
|
14 |
12 |
$434.45 |
| 81003 |
|
142 |
129 |
$281.03 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$45.76 |