| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,902 |
5,089 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,469 |
2,196 |
$53K |
| 99490 |
Ccm add 20min |
5,134 |
5,113 |
$46K |
| 99491 |
Ccm add 20min |
1,296 |
1,289 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
296 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$714.76 |
| 90686 |
|
55 |
55 |
$40.63 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
13 |
$16.45 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |