| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,819 |
2,630 |
$232K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,616 |
1,510 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
133 |
$6K |
| 90756 |
|
119 |
118 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
112 |
$1K |
| 90656 |
|
24 |
24 |
$432.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$412.90 |
| 90688 |
|
17 |
17 |
$319.53 |
| G0008 |
Administration of influenza virus vaccine |
23 |
22 |
$244.11 |