| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,687 |
1,592 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,437 |
1,353 |
$66K |
| 93000 |
|
415 |
409 |
$5K |
| 92553 |
|
272 |
267 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
68 |
$835.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$670.62 |
| 90688 |
|
30 |
30 |
$395.25 |
| 96127 |
|
141 |
135 |
$346.19 |
| 99072 |
|
226 |
210 |
$0.00 |