| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
661 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
482 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
52 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
14 |
$854.47 |
| 90686 |
|
89 |
68 |
$716.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
26 |
$285.96 |
| 99442 |
|
24 |
20 |
$230.66 |