| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,053 |
2,451 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
141 |
$8K |
| 99442 |
|
72 |
65 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
148 |
$4K |
| 99441 |
|
15 |
14 |
$777.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
107 |
$717.60 |
| 93000 |
|
49 |
48 |
$404.85 |
| 99080 |
|
335 |
70 |
$0.00 |