| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,432 |
1,242 |
$24K |
| 99310 |
Prolong nursin fac eval 15m |
363 |
347 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40 |
40 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24 |
24 |
$2K |
| 90688 |
|
62 |
55 |
$259.01 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$118.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
24 |
$109.56 |
| 90630 |
|
19 |
12 |
$0.00 |