| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
101 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
434 |
402 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$797.57 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
61 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |