| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,583 |
7,169 |
$979K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,435 |
1,731 |
$344K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
156 |
144 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
13 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
26 |
$741.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,209 |
972 |
$158.83 |
| 90686 |
|
470 |
393 |
$60.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$0.00 |
| 90656 |
|
36 |
20 |
$0.00 |