| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,236 |
1,140 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
521 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
377 |
$37K |
| 99385 |
|
14 |
14 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
72 |
$828.00 |
| 90686 |
|
40 |
40 |
$564.90 |
| 81025 |
|
53 |
52 |
$366.68 |
| 81002 |
|
30 |
28 |
$86.78 |