| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,617 |
3,445 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,279 |
1,279 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
516 |
516 |
$24K |
| 90756 |
|
295 |
295 |
$11K |
| 90674 |
|
223 |
223 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
764 |
762 |
$4K |
| 90686 |
|
59 |
59 |
$2K |
| 99442 |
|
22 |
22 |
$660.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$271.56 |