| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,990 |
8,827 |
$3K |
| 90688 |
|
349 |
349 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
428 |
$1K |
| 3008F |
|
569 |
555 |
$1K |
| 93000 |
|
98 |
98 |
$767.05 |
| 3078F |
|
666 |
654 |
$120.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$105.00 |
| 3079F |
|
152 |
150 |
$60.00 |
| 3074F |
|
552 |
543 |
$60.00 |
| 3075F |
|
141 |
140 |
$25.00 |
| 3077F |
|
143 |
140 |
$10.00 |
| 99442 |
|
365 |
335 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
109 |
109 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$0.00 |