| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,545 |
3,982 |
$113K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
289 |
245 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
200 |
39 |
$1K |
| 90686 |
|
69 |
62 |
$234.20 |
| 90674 |
|
47 |
41 |
$128.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
30 |
29 |
$44.07 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$27.33 |