| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,456 |
1,381 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,194 |
2,002 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
190 |
190 |
$18K |
| 82962 |
|
115 |
112 |
$275.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$260.65 |
| 99442 |
|
12 |
12 |
$249.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$215.54 |
| 90756 |
|
18 |
17 |
$74.19 |