| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,684 |
33,078 |
$3.79M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,364 |
3,353 |
$436K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,741 |
2,477 |
$163K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,106 |
5,957 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
715 |
713 |
$88K |
| 90686 |
|
4,089 |
4,070 |
$82K |
| 90750 |
|
176 |
176 |
$35K |
| 90688 |
|
776 |
772 |
$14K |
| 90651 |
|
31 |
30 |
$8K |
| 93000 |
|
296 |
294 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$2K |
| 99397 |
|
14 |
14 |
$1K |
| 83013 |
|
15 |
15 |
$983.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
28 |
$427.79 |
| 90653 |
|
12 |
12 |
$257.06 |
| 83014 |
|
15 |
15 |
$107.67 |
| 99429 |
|
185 |
163 |
$0.00 |
| 99080 |
|
70 |
35 |
$0.00 |