| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,736 |
4,495 |
$212K |
| 99215 |
Prolong outpt/office vis |
900 |
879 |
$66K |
| 90674 |
|
362 |
362 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
329 |
313 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
655 |
655 |
$5K |
| 90686 |
|
106 |
106 |
$3K |
| 90662 |
|
40 |
40 |
$3K |
| 90656 |
|
53 |
53 |
$2K |
| 99401 |
|
157 |
157 |
$2K |
| 90756 |
|
45 |
45 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$785.74 |