| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
955 |
559 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,783 |
2,281 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,684 |
1,349 |
$150K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
368 |
237 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
428 |
324 |
$25K |
| 96156 |
|
335 |
324 |
$20K |
| G9920 |
Screening performed and negative |
739 |
731 |
$19K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
793 |
793 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
97 |
$6K |
| 81025 |
|
1,760 |
1,760 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
75 |
$2K |
| 99460 |
|
26 |
25 |
$2K |
| 99462 |
|
31 |
25 |
$764.99 |
| 0072A |
|
18 |
18 |
$720.00 |
| 0071A |
|
15 |
15 |
$600.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$347.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$165.50 |
| 92551 |
|
26 |
26 |
$144.57 |
| 90671 |
|
34 |
33 |
$108.00 |
| 90633 |
|
12 |
12 |
$63.00 |
| 90697 |
|
16 |
15 |
$45.00 |
| 99173 |
|
12 |
12 |
$34.44 |