| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,655 |
9,591 |
$904K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,111 |
5,780 |
$527K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
113 |
$14K |
| 99495 |
|
46 |
45 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
130 |
$7K |
| 99496 |
|
40 |
40 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
146 |
142 |
$972.51 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |