| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,133 |
5,965 |
$407K |
| 99199 |
Unlisted special service, procedure or report |
38,994 |
22,578 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,057 |
3,220 |
$164K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
51 |
41 |
$935.49 |
| 96127 |
|
159 |
67 |
$354.79 |
| 90686 |
|
18 |
18 |
$177.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$119.70 |