| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
297 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
262 |
$21K |
| 99215 |
Prolong outpt/office vis |
94 |
77 |
$12K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
202 |
166 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
97 |
$2K |
| 90686 |
|
70 |
70 |
$2K |