| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
2,971 |
2,615 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,415 |
1,096 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
790 |
$32K |
| 93000 |
|
644 |
543 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
98 |
$1K |
| 90661 |
|
43 |
41 |
$640.89 |
| 94060 |
|
14 |
14 |
$543.40 |
| 90756 |
|
12 |
12 |
$27.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$8.75 |