| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
285 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
94 |
$4K |
| 99401 |
|
148 |
99 |
$2K |
| 99385 |
|
17 |
17 |
$902.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$862.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$529.95 |
| 90661 |
|
16 |
14 |
$379.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
20 |
$348.82 |
| 96127 |
|
94 |
93 |
$176.67 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
19 |
15 |
$68.28 |