| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
465 |
419 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
69 |
$5K |
| 99460 |
|
62 |
52 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
61 |
$2K |
| 99462 |
|
19 |
14 |
$517.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
52 |
$431.75 |
| 90688 |
|
60 |
53 |
$0.00 |
| 90686 |
|
40 |
38 |
$0.00 |