| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
144 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
94 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
28 |
$482.35 |
| 99401 |
|
28 |
12 |
$339.31 |
| 90670 |
|
14 |
14 |
$269.07 |
| 3008F |
|
29 |
13 |
$120.00 |
| 90648 |
|
13 |
13 |
$14.70 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
12 |
$0.00 |