| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
635 |
580 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
62 |
$0.00 |
| 98940 |
|
40 |
39 |
$0.00 |