| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,334 |
$128K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,172 |
765 |
$56K |
| 99215 |
Prolong outpt/office vis |
663 |
471 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
82 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
46 |
$3K |
| 90756 |
|
31 |
30 |
$609.49 |
| 99442 |
|
16 |
14 |
$91.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
15 |
$56.47 |
| 96127 |
|
27 |
14 |
$33.93 |
| 99497 |
|
32 |
12 |
$19.36 |