| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,361 |
1,843 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
605 |
500 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
134 |
122 |
$4K |
| 90688 |
|
147 |
134 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
64 |
$1K |
| 90674 |
|
12 |
12 |
$239.81 |