| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,984 |
1,647 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
801 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
351 |
307 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
60 |
$5K |
| 17110 |
|
98 |
85 |
$4K |
| 90756 |
|
47 |
36 |
$681.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
36 |
$648.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$308.82 |