| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,983 |
3,907 |
$156K |
| 90746 |
|
87 |
87 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
117 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
165 |
164 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
251 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$1K |
| 0124A |
|
12 |
12 |
$528.00 |
| 90686 |
|
208 |
189 |
$165.00 |
| 96127 |
|
12 |
12 |
$44.31 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |