| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,571 |
1,525 |
$110K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
77 |
$8K |
| 90686 |
|
180 |
180 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
266 |
263 |
$2K |
| 90688 |
|
31 |
31 |
$582.14 |
| 90756 |
|
13 |
13 |
$309.47 |