| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,907 |
1,740 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,857 |
1,709 |
$79K |
| 90686 |
|
64 |
46 |
$902.04 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
66 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
46 |
$0.00 |