| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,471 |
1,376 |
$92K |
| 99215 |
Prolong outpt/office vis |
412 |
383 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
293 |
$15K |
| 99442 |
|
225 |
213 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
55 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 99422 |
|
46 |
45 |
$1K |
| 99497 |
|
15 |
14 |
$968.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$230.88 |
| 90686 |
|
16 |
14 |
$174.71 |
| 3725F |
|
14 |
13 |
$0.00 |