| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,682 |
16,657 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
4,000 |
3,411 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,281 |
2,007 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,743 |
1,447 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
935 |
875 |
$697.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
926 |
641 |
$582.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,114 |
7,735 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |