| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,139 |
1,844 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
649 |
435 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
757 |
657 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 0500F |
|
12 |
12 |
$529.20 |
| 90686 |
|
27 |
27 |
$517.61 |
| 90715 |
|
15 |
13 |
$480.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$107.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
22 |
$0.00 |