| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
693 |
567 |
$36K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,599 |
2,015 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
152 |
$7K |
| 94060 |
|
58 |
58 |
$558.96 |
| 90686 |
|
20 |
20 |
$382.57 |
| 94726 |
|
45 |
45 |
$239.91 |
| 94729 |
|
45 |
45 |
$160.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$0.00 |