| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
31 |
31 |
$389.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
789 |
$374.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$145.00 |
| 99442 |
|
161 |
150 |
$95.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
171 |
$80.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |