| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,938 |
2,509 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,035 |
921 |
$52K |
| 99051 |
|
601 |
552 |
$12K |
| 99307 |
|
1,247 |
1,238 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 90756 |
|
35 |
35 |
$760.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
49 |
$537.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
33 |
$442.96 |
| 99406 |
|
14 |
13 |
$106.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$93.77 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
38 |
34 |
$0.00 |
| 1159F |
|
17 |
16 |
$0.00 |
| 2000F |
|
20 |
19 |
$0.00 |
| 1000F |
|
15 |
14 |
$0.00 |
| 0513F |
|
15 |
14 |
$0.00 |