| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,403 |
1,294 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
51 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
180 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
70 |
68 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$956.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$230.75 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$197.60 |