| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,966 |
6,192 |
$236K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
458 |
333 |
$35K |
| 94729 |
|
1,888 |
1,630 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
697 |
482 |
$24K |
| 94060 |
|
1,715 |
1,441 |
$23K |
| 94727 |
|
1,969 |
1,667 |
$20K |
| 94150 |
|
1,710 |
1,637 |
$9K |
| 94010 |
|
871 |
726 |
$8K |
| 94760 |
|
8,106 |
7,643 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
105 |
40 |
$1K |
| 94617 |
|
23 |
19 |
$609.80 |
| 90688 |
|
61 |
49 |
$446.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |