| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,897 |
5,707 |
$459K |
| 99215 |
Prolong outpt/office vis |
2,680 |
2,534 |
$206K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
138 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
421 |
$8K |
| 90686 |
|
645 |
640 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$3K |
| 99406 |
|
440 |
364 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90732 |
|
18 |
17 |
$803.00 |
| G0008 |
Administration of influenza virus vaccine |
152 |
151 |
$0.00 |