| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
577 |
$65.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
701 |
$39.38 |
| 3078F |
|
317 |
276 |
$0.00 |
| 1160F |
|
188 |
176 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$0.00 |
| 1159F |
|
188 |
176 |
$0.00 |
| 99401 |
|
183 |
172 |
$0.00 |
| 3077F |
|
128 |
109 |
$0.00 |
| 3008F |
|
779 |
674 |
$0.00 |
| 94761 |
|
1,555 |
1,379 |
$0.00 |
| 1126F |
|
83 |
77 |
$0.00 |
| 3074F |
|
126 |
107 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
185 |
163 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |