| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,886 |
1,769 |
$508.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
738 |
675 |
$170.16 |
| 90674 |
|
189 |
187 |
$24.80 |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
200 |
161 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
182 |
181 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
526 |
449 |
$0.00 |