| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,869 |
2,757 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,194 |
1,113 |
$25K |
| 90756 |
|
33 |
32 |
$1K |
| 99245 |
|
27 |
27 |
$730.73 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$691.28 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$378.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$276.24 |