| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,594 |
3,728 |
$227K |
| 80305 |
|
4,390 |
3,477 |
$51K |
| 99000 |
|
3,381 |
2,670 |
$11K |
| 81025 |
|
530 |
505 |
$4K |
| 99215 |
Prolong outpt/office vis |
50 |
45 |
$3K |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
491 |
429 |
$1K |
| 96127 |
|
154 |
143 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
15 |
$553.33 |
| 90686 |
|
16 |
16 |
$350.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |