| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
327 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
99 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99385 |
|
36 |
26 |
$2K |
| 99386 |
|
22 |
12 |
$772.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
32 |
$562.34 |
| 90674 |
|
29 |
26 |
$353.49 |
| 93000 |
|
18 |
12 |
$110.55 |