| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,769 |
3,203 |
$221K |
| 99215 |
Prolong outpt/office vis |
1,517 |
1,474 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,657 |
1,518 |
$67K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$5K |
| 99205 |
Prolong outpt/office vis |
50 |
48 |
$5K |
| 99423 |
|
56 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
98 |
$1K |
| 90688 |
|
74 |
74 |
$1K |
| 99422 |
|
89 |
86 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$330.08 |
| 99442 |
|
13 |
12 |
$327.62 |
| 90658 |
|
14 |
14 |
$250.85 |