| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,114 |
2,400 |
$3K |
| 90658 |
|
78 |
78 |
$797.40 |
| 2001F |
|
4,227 |
3,194 |
$559.45 |
| 0001F |
|
3,636 |
2,680 |
$512.70 |
| 3008F |
|
4,220 |
3,189 |
$189.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$37.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
198 |
$4.46 |
| 97802 |
|
82 |
82 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 2028F |
|
14 |
13 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |