| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,852 |
5,394 |
$496K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,229 |
7,392 |
$465K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
748 |
666 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
86 |
$8K |
| 80305 |
|
760 |
670 |
$6K |
| 90756 |
|
206 |
201 |
$4K |
| 96127 |
|
1,430 |
1,421 |
$4K |
| 99497 |
|
85 |
84 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
329 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$866.85 |
| 90686 |
|
27 |
27 |
$557.43 |
| 90656 |
|
15 |
15 |
$334.37 |
| 99307 |
|
12 |
12 |
$287.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$80.78 |
| 96160 |
|
13 |
13 |
$1.92 |