| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,149 |
1,669 |
$31K |
| 93000 |
|
873 |
847 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,608 |
3,969 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
365 |
345 |
$2K |
| 90658 |
|
164 |
157 |
$2K |
| 90686 |
|
54 |
53 |
$1K |
| 90694 |
|
27 |
26 |
$779.30 |
| 90674 |
|
17 |
15 |
$330.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$245.27 |
| 90662 |
|
14 |
12 |
$196.00 |
| 3008F |
|
19 |
19 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
14 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |