| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,383 |
3,025 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,362 |
1,256 |
$214K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
248 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
72 |
53 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| 96127 |
|
37 |
37 |
$0.00 |