| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,526 |
2,277 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
983 |
$47K |
| 99215 |
Prolong outpt/office vis |
89 |
83 |
$10K |
| 96127 |
|
386 |
202 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |
| 90674 |
|
40 |
38 |
$692.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
32 |
$412.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$181.42 |
| G0008 |
Administration of influenza virus vaccine |
16 |
14 |
$158.52 |
| 90686 |
|
17 |
15 |
$156.42 |
| 80305 |
|
13 |
13 |
$111.46 |