| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,824 |
2,807 |
$206K |
| 99215 |
Prolong outpt/office vis |
486 |
376 |
$37K |
| 99454 |
|
836 |
562 |
$10K |
| 99457 |
|
67 |
46 |
$650.93 |
| 90682 |
|
13 |
13 |
$640.56 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$199.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$0.00 |