| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,752 |
2,900 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
2,399 |
$112K |
| 99401 |
|
399 |
364 |
$7K |
| 93922 |
|
192 |
181 |
$6K |
| 95943 |
|
111 |
108 |
$5K |
| 93000 |
|
373 |
350 |
$5K |
| 90682 |
|
147 |
129 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
307 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
70 |
$3K |
| 94010 |
|
124 |
113 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$905.82 |
| 90686 |
|
48 |
40 |
$576.08 |