| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
143 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$824.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$782.66 |
| 90682 |
|
12 |
12 |
$671.10 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$119.22 |
| 96127 |
|
13 |
13 |
$0.00 |