| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,819 |
7,076 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
664 |
$11K |
| 99442 |
|
972 |
872 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
641 |
628 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
865 |
862 |
$5K |
| 99490 |
Ccm add 20min |
122 |
122 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
912 |
893 |
$2K |
| 90688 |
|
223 |
222 |
$2K |
| 99243 |
|
39 |
35 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
84 |
$996.84 |
| 90715 |
|
44 |
44 |
$582.30 |
| 90686 |
|
24 |
24 |
$152.49 |
| 90682 |
|
50 |
50 |
$0.00 |
| 90662 |
|
31 |
31 |
$0.00 |
| 99441 |
|
132 |
125 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
54 |
$0.00 |