| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
556 |
436 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$915.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
12 |
$377.30 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
38 |
25 |
$156.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
21 |
$20.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
20 |
$20.00 |