| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,141 |
4,669 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,894 |
1,815 |
$123K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
345 |
334 |
$41K |
| 90686 |
|
579 |
579 |
$21K |
| 0012A |
|
322 |
322 |
$13K |
| 0011A |
|
309 |
309 |
$11K |
| 0064A |
|
194 |
194 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
698 |
$7K |
| 91322 |
|
43 |
42 |
$6K |
| 97810 |
|
73 |
51 |
$4K |
| 97811 |
|
73 |
51 |
$4K |
| 99401 |
|
80 |
79 |
$3K |
| 96127 |
|
329 |
328 |
$3K |
| 90656 |
|
38 |
38 |
$3K |
| 0134A |
|
58 |
58 |
$2K |
| 97026 |
|
116 |
80 |
$2K |
| 97750 |
|
57 |
57 |
$2K |
| 90480 |
|
45 |
44 |
$2K |
| 90662 |
|
21 |
21 |
$1K |
| 3008F |
|
309 |
309 |
$425.06 |
| 1160F |
|
85 |
83 |
$40.01 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
13 |
13 |
$20.16 |
| 1157F |
|
236 |
236 |
$0.00 |
| 1101F |
|
233 |
233 |
$0.00 |
| 3014F |
|
51 |
49 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 3017F |
|
64 |
64 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |
| 3725F |
|
232 |
232 |
$0.00 |
| 1159F |
|
247 |
247 |
$0.00 |
| 3015F |
|
65 |
62 |
$0.00 |