| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,603 |
2,795 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,019 |
942 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
771 |
708 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
281 |
279 |
$5K |
| 99385 |
|
62 |
62 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$71.47 |
| 90686 |
|
97 |
96 |
$0.00 |