| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,212 |
1,064 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
143 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
25 |
$292.48 |
| 99307 |
|
87 |
86 |
$271.55 |
| 90686 |
|
14 |
12 |
$266.42 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
13 |
$151.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
13 |
$0.00 |