| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,507 |
5,953 |
$415K |
| 17004 |
|
1,802 |
1,649 |
$162K |
| 99215 |
Prolong outpt/office vis |
1,960 |
1,579 |
$138K |
| 71046 |
Radiologic examination, chest; 2 views |
487 |
428 |
$10K |
| 70220 |
|
315 |
289 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
103 |
$2K |
| 90674 |
|
64 |
53 |
$906.22 |
| 90686 |
|
49 |
37 |
$452.39 |
| 90689 |
|
21 |
12 |
$206.92 |
| 90756 |
|
18 |
17 |
$202.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
18 |
$101.72 |