| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,156 |
1,126 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
259 |
$776.50 |
| 99442 |
|
48 |
48 |
$455.74 |
| 90688 |
|
39 |
39 |
$403.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$54.46 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$33.42 |