| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,247 |
1,712 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
532 |
431 |
$9K |
| 81002 |
|
580 |
515 |
$336.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
34 |
$108.77 |
| 90686 |
|
30 |
18 |
$102.50 |
| 90756 |
|
18 |
16 |
$89.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$55.04 |
| 86580 |
|
12 |
12 |
$4.10 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
211 |
196 |
$0.00 |