| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,629 |
4,165 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,520 |
3,113 |
$202K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
182 |
160 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$52.10 |
| 99072 |
|
60 |
59 |
$0.00 |