| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
345 |
$17K |
| T1015 |
Clinic visit/encounter, all-inclusive |
54 |
41 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
368 |
$13K |
| 99442 |
|
289 |
271 |
$13K |
| 99441 |
|
321 |
308 |
$9K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
321 |
273 |
$2K |
| 99490 |
Ccm add 20min |
90 |
90 |
$905.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$816.37 |
| 90756 |
|
55 |
55 |
$650.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$385.73 |
| 3078F |
|
31 |
30 |
$42.12 |
| 3077F |
|
15 |
15 |
$14.24 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$0.00 |