| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,223 |
2,092 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,272 |
1,222 |
$79K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
837 |
488 |
$26K |
| 90682 |
|
49 |
43 |
$2K |
| 99497 |
|
147 |
146 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
138 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
64 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
63 |
$1K |
| 90658 |
|
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |