| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,390 |
2,270 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,639 |
3,402 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
968 |
890 |
$2K |
| 99215 |
Prolong outpt/office vis |
283 |
277 |
$852.28 |
| 3008F |
|
1,287 |
1,235 |
$253.05 |
| 81002 |
|
166 |
159 |
$165.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$109.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$18.06 |