| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
3,440 |
1,949 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,502 |
1,148 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
687 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
47 |
$6K |
| 88150 |
|
532 |
383 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
54 |
$3K |
| 81002 |
|
698 |
415 |
$2K |
| 81025 |
|
311 |
257 |
$1K |
| 0500F |
|
14 |
12 |
$628.43 |
| 90686 |
|
21 |
20 |
$134.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$0.00 |