| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,739 |
$97K |
| 95117 |
|
7,039 |
3,524 |
$78K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,527 |
2,180 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,258 |
1,211 |
$44K |
| 94010 |
|
474 |
455 |
$13K |
| 95144 |
|
30 |
26 |
$7K |
| 95115 |
|
713 |
341 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
32 |
25 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
61 |
$2K |
| 94150 |
|
151 |
126 |
$960.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
81 |
$787.30 |
| 90688 |
|
26 |
25 |
$594.17 |