| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
141 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
33 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
94 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
57 |
$2K |
| 96127 |
|
19 |
17 |
$143.81 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |