| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,832 |
3,317 |
$32K |
| 99442 |
|
1,018 |
904 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
780 |
600 |
$2K |
| 98926 |
|
526 |
416 |
$2K |
| 97016 |
|
760 |
583 |
$1K |
| 97012 |
|
509 |
403 |
$923.76 |
| 71046 |
Radiologic examination, chest; 2 views |
194 |
183 |
$709.76 |
| 97024 |
|
593 |
484 |
$543.52 |
| 90658 |
|
53 |
53 |
$280.80 |
| 90662 |
|
96 |
93 |
$225.74 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$140.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
44 |
$24.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
198 |
196 |
$0.00 |
| 90688 |
|
48 |
48 |
$0.00 |