| Code | Description | Claims | Beneficiaries | Total Paid |
| 96156 |
|
800 |
776 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
626 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,294 |
730 |
$5K |
| 92551 |
|
203 |
196 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
116 |
$3K |
| 90670 |
|
135 |
135 |
$1K |
| 85018 |
|
573 |
547 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
39 |
$991.59 |
| 90698 |
|
78 |
78 |
$702.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$626.99 |
| 81000 |
|
227 |
219 |
$583.17 |
| 92499 |
|
71 |
64 |
$160.02 |
| 90688 |
|
16 |
16 |
$144.00 |