| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,742 |
4,992 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
796 |
636 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
99 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
83 |
$11K |
| 99215 |
Prolong outpt/office vis |
61 |
59 |
$9K |
| 90688 |
|
118 |
108 |
$2K |
| 0003A |
|
36 |
35 |
$1K |
| 96127 |
|
224 |
216 |
$998.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
65 |
$418.43 |
| 3015F |
|
26 |
26 |
$100.00 |
| 91300 |
|
46 |
44 |
$0.02 |
| 3016F |
|
124 |
123 |
$0.00 |
| 1030F |
|
159 |
154 |
$0.00 |
| 3017F |
|
15 |
15 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |