| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,329 |
7,992 |
$442K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,759 |
8,164 |
$292K |
| 99215 |
Prolong outpt/office vis |
259 |
186 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$3K |
| 90674 |
|
168 |
132 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
143 |
$1K |
| 99336 |
|
40 |
40 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
43 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$828.36 |
| 90686 |
|
27 |
27 |
$420.48 |
| 99335 |
|
18 |
12 |
$416.49 |
| 0011A |
|
27 |
20 |
$360.00 |
| 0012A |
|
25 |
18 |
$320.00 |
| 99442 |
|
34 |
24 |
$245.91 |
| 3044F |
|
47 |
46 |
$40.01 |
| 96127 |
|
346 |
323 |
$18.34 |
| 91301 |
|
105 |
71 |
$0.14 |
| 3074F |
|
7,978 |
6,935 |
$0.06 |
| 3078F |
|
5,216 |
4,488 |
$0.00 |
| 1159F |
|
9,796 |
9,194 |
$0.00 |
| 3077F |
|
347 |
256 |
$0.00 |
| 1100F |
|
164 |
159 |
$0.00 |
| 1160F |
|
943 |
900 |
$0.00 |
| 1090F |
|
70 |
66 |
$0.00 |
| 1125F |
|
4,962 |
4,279 |
$0.00 |
| 1126F |
|
8,086 |
7,199 |
$0.00 |
| 3079F |
|
4,441 |
3,921 |
$0.00 |
| 1220F |
|
171 |
168 |
$0.00 |
| 3075F |
|
1,177 |
1,045 |
$0.00 |
| 3008F |
|
1,913 |
1,317 |
$0.00 |
| 3080F |
|
94 |
61 |
$0.00 |
| 1000F |
|
38 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |