| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,718 |
2,879 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
693 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
121 |
$2K |
| 90682 |
|
32 |
29 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90688 |
|
56 |
51 |
$774.20 |
| 3078F |
|
147 |
94 |
$0.00 |
| 3074F |
|
249 |
150 |
$0.00 |
| 3079F |
|
135 |
81 |
$0.00 |