| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
587 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
588 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
47 |
$519.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
17 |
$329.64 |
| 90686 |
|
15 |
12 |
$7.50 |