| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,464 |
1,336 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,738 |
1,546 |
$69K |
| 90686 |
|
148 |
128 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
375 |
362 |
$72.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
25 |
$0.00 |