| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,977 |
1,757 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,272 |
1,185 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
862 |
718 |
$16K |
| 90756 |
|
24 |
23 |
$374.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$318.52 |
| 93000 |
|
12 |
12 |
$120.82 |
| 96127 |
|
44 |
44 |
$43.93 |
| 3008F |
|
25 |
25 |
$0.00 |