| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
289 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
59 |
$6K |
| 96151 |
|
119 |
118 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
537 |
390 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
42 |
$2K |
| 92551 |
|
126 |
126 |
$2K |
| 85018 |
|
242 |
241 |
$527.79 |
| 90670 |
|
61 |
60 |
$522.00 |
| 90698 |
|
40 |
39 |
$360.00 |
| 81000 |
|
116 |
114 |
$313.95 |
| 90680 |
|
16 |
15 |
$144.00 |
| 90744 |
|
13 |
12 |
$117.00 |
| 92499 |
|
44 |
44 |
$66.04 |