| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
756 |
724 |
$286K |
| 99205 |
Prolong outpt/office vis |
134 |
108 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
43 |
$5K |
| G8482 |
Influenza immunization administered or previously received |
204 |
204 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
257 |
256 |
$0.00 |