| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
878 |
815 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
651 |
$34K |
| 99442 |
|
494 |
454 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
197 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
40 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99441 |
|
30 |
29 |
$667.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$432.72 |
| 90756 |
|
27 |
27 |
$356.18 |
| 99397 |
|
12 |
12 |
$310.11 |
| 90658 |
|
30 |
30 |
$153.02 |
| 96127 |
|
21 |
21 |
$40.71 |
| 3078F |
|
112 |
103 |
$25.87 |
| 3074F |
|
52 |
48 |
$19.08 |
| 1159F |
|
362 |
312 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$8.40 |
| 3077F |
|
30 |
27 |
$2.55 |