| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
182 |
$0.00 |
| 85018 |
|
240 |
232 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
203 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
193 |
109 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$0.00 |
| 90461 |
|
15 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |