| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,441 |
4,826 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,338 |
1,331 |
$93K |
| 93000 |
|
1,577 |
1,419 |
$24K |
| 94060 |
|
147 |
141 |
$6K |
| 90688 |
|
273 |
273 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
290 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
48 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
36 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 94729 |
|
29 |
29 |
$851.00 |
| 90756 |
|
34 |
34 |
$774.79 |
| 94727 |
|
30 |
30 |
$663.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$308.38 |