| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
542 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
524 |
$4K |
| 94644 |
|
15 |
14 |
$77.54 |
| 94667 |
|
15 |
14 |
$29.38 |
| 94200 |
|
15 |
14 |
$3.36 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
13 |
$0.00 |
| 99401 |
|
18 |
17 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
31 |
$0.00 |