| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,152 |
2,846 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,593 |
1,509 |
$73K |
| 90686 |
|
135 |
125 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
61 |
$1K |
| 90688 |
|
64 |
63 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
507 |
496 |
$1K |
| 99000 |
|
224 |
212 |
$745.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
170 |
$698.04 |
| 88142 |
|
21 |
18 |
$255.00 |
| 3342F |
|
16 |
16 |
$0.00 |