| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,899 |
5,163 |
$320K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,399 |
1,171 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
459 |
411 |
$14K |
| 90674 |
|
109 |
108 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
31 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
214 |
$2K |
| 90756 |
|
41 |
36 |
$988.60 |
| 90661 |
|
39 |
39 |
$916.34 |
| 90686 |
|
26 |
26 |
$350.93 |