| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,762 |
4,253 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,427 |
3,872 |
$231K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
591 |
335 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$2K |
| 90686 |
|
107 |
76 |
$1K |
| 80305 |
|
131 |
110 |
$966.40 |
| 93000 |
|
70 |
63 |
$760.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
93 |
$57.10 |