| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,408 |
7,311 |
$421K |
| 99199 |
Unlisted special service, procedure or report |
48,696 |
28,261 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,356 |
1,156 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
51 |
$6K |
| 99401 |
|
180 |
151 |
$3K |
| 90674 |
|
122 |
114 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
123 |
$2K |
| 99442 |
|
45 |
39 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 99385 |
|
18 |
12 |
$848.25 |
| 90686 |
|
32 |
31 |
$413.82 |
| 90756 |
|
36 |
15 |
$173.55 |
| 90661 |
|
13 |
12 |
$163.25 |
| 96127 |
|
68 |
57 |
$130.56 |
| 99406 |
|
15 |
12 |
$96.80 |
| 81003 |
|
68 |
43 |
$88.64 |
| 3008F |
|
3,739 |
3,302 |
$2.00 |
| 3078F |
|
775 |
707 |
$0.00 |
| 99072 |
|
949 |
852 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 3050F |
|
13 |
12 |
$0.00 |
| 3048F |
|
520 |
452 |
$0.00 |
| 3074F |
|
615 |
553 |
$0.00 |
| 3079F |
|
481 |
429 |
$0.00 |
| 4010F |
|
28 |
28 |
$0.00 |
| 3075F |
|
199 |
182 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |