| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,829 |
2,256 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,552 |
2,097 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
52 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
66 |
$4K |
| 99442 |
|
22 |
15 |
$865.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$555.06 |
| 99457 |
|
15 |
12 |
$468.11 |
| 90674 |
|
15 |
15 |
$289.55 |
| 90688 |
|
22 |
12 |
$45.62 |
| 96127 |
|
12 |
12 |
$39.96 |
| 3074F |
|
2,008 |
1,612 |
$0.00 |
| 3079F |
|
1,075 |
885 |
$0.00 |
| 3075F |
|
435 |
359 |
$0.00 |
| 3080F |
|
174 |
123 |
$0.00 |
| 1036F |
|
129 |
119 |
$0.00 |
| 3008F |
|
161 |
151 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
30 |
$0.00 |
| 3077F |
|
522 |
402 |
$0.00 |
| 3078F |
|
1,752 |
1,404 |
$0.00 |
| 3725F |
|
30 |
27 |
$0.00 |