| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
309 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
391 |
296 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
44 |
$483.00 |
| 90688 |
|
14 |
13 |
$107.04 |
| 90686 |
|
14 |
13 |
$57.09 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
686 |
595 |
$8.38 |
| 1160F |
|
493 |
466 |
$0.00 |
| 1159F |
|
483 |
455 |
$0.00 |
| 99072 |
|
34 |
33 |
$0.00 |
| 1036F |
|
155 |
145 |
$0.00 |