| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
695 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
439 |
$23K |
| 91304 |
|
21 |
21 |
$3K |
| 99349 |
|
58 |
49 |
$2K |
| 99350 |
Prolong home eval add 15m |
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 80305 |
|
179 |
135 |
$1K |
| 90480 |
|
22 |
22 |
$878.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
15 |
$718.44 |
| 92229 |
|
21 |
18 |
$524.37 |
| 90674 |
|
15 |
15 |
$478.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$253.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$253.22 |
| 3078F |
|
893 |
664 |
$0.00 |
| 1159F |
|
329 |
282 |
$0.00 |
| 1160F |
|
329 |
282 |
$0.00 |
| 99348 |
|
14 |
12 |
$0.00 |
| 3077F |
|
69 |
47 |
$0.00 |
| 1125F |
|
1,230 |
910 |
$0.00 |
| 99496 |
|
156 |
137 |
$0.00 |
| 3079F |
|
559 |
443 |
$0.00 |
| 3074F |
|
1,076 |
792 |
$0.00 |
| 3008F |
|
1,806 |
1,291 |
$0.00 |
| 3075F |
|
205 |
180 |
$0.00 |
| 1111F |
|
228 |
190 |
$0.00 |
| 1126F |
|
86 |
67 |
$0.00 |
| 3080F |
|
31 |
24 |
$0.00 |
| 99495 |
|
13 |
13 |
$0.00 |