| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,412 |
4,658 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,432 |
1,247 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
47 |
$4K |
| 94760 |
|
2,159 |
1,515 |
$2K |
| 82962 |
|
446 |
353 |
$958.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
38 |
$857.95 |
| 90688 |
|
52 |
42 |
$687.97 |
| 90662 |
|
12 |
12 |
$131.30 |
| 1126F |
|
232 |
135 |
$0.02 |
| 3078F |
|
135 |
81 |
$0.00 |
| 4013F |
|
52 |
27 |
$0.00 |
| 1159F |
|
164 |
94 |
$0.00 |
| 4010F |
|
44 |
26 |
$0.00 |
| 3074F |
|
27 |
17 |
$0.00 |