| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,538 |
2,435 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,457 |
2,249 |
$162K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
322 |
$6K |
| 99441 |
|
92 |
90 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$1K |
| 99442 |
|
35 |
32 |
$1K |
| 90686 |
|
134 |
133 |
$33.94 |
| 90688 |
|
22 |
22 |
$0.00 |