| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,031 |
1,730 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,209 |
994 |
$74K |
| T1015 |
Clinic visit/encounter, all-inclusive |
201 |
157 |
$7K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
121 |
$4K |
| 90686 |
|
63 |
60 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
47 |
$366.07 |