| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,354 |
1,148 |
$3K |
| 99348 |
|
101 |
101 |
$432.18 |
| 92552 |
|
76 |
76 |
$409.01 |
| 99173 |
|
164 |
163 |
$86.48 |
| 90658 |
|
39 |
39 |
$63.00 |
| 92551 |
|
59 |
59 |
$28.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
132 |
$20.00 |
| 3008F |
|
991 |
886 |
$0.00 |
| 99000 |
|
38 |
38 |
$0.00 |
| 87650 |
|
75 |
75 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
41 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
79 |
73 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |