| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,364 |
2,016 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
1,210 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$530.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
405 |
405 |
$274.67 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$40.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$24.65 |