| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,282 |
2,016 |
$131K |
| 96161 |
|
444 |
436 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
56 |
$1K |
| 90756 |
|
45 |
44 |
$1K |
| 90686 |
|
32 |
32 |
$295.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
25 |
$278.74 |
| 99490 |
Ccm add 20min |
699 |
685 |
$130.44 |
| 90661 |
|
18 |
18 |
$7.37 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |