| Code | Description | Claims | Beneficiaries | Total Paid |
| 96156 |
|
177 |
177 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
178 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
47 |
$1K |
| G9920 |
Screening performed and negative |
33 |
33 |
$1K |
| 92551 |
|
54 |
54 |
$710.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
51 |
$320.21 |
| 85018 |
|
101 |
100 |
$205.86 |
| 81000 |
|
55 |
55 |
$141.96 |
| 92499 |
|
28 |
28 |
$71.12 |