| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
595 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
366 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
28 |
$505.50 |
| 99442 |
|
21 |
16 |
$242.05 |
| 90686 |
|
18 |
14 |
$160.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
15 |
$132.90 |
| 36416 |
|
15 |
12 |
$14.69 |