| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,533 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
838 |
708 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
192 |
$2K |
| 90686 |
|
131 |
108 |
$2K |
| 3074F |
|
907 |
798 |
$905.55 |
| 3078F |
|
724 |
645 |
$872.24 |
| 3079F |
|
548 |
492 |
$833.30 |
| 90715 |
|
26 |
14 |
$729.46 |
| 1126F |
|
106 |
90 |
$600.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$428.03 |
| 3077F |
|
274 |
254 |
$420.00 |
| 3080F |
|
138 |
119 |
$280.00 |
| 3075F |
|
230 |
206 |
$280.00 |
| 1125F |
|
33 |
27 |
$180.00 |
| 99442 |
|
13 |
12 |
$140.96 |
| 81003 |
|
14 |
12 |
$25.31 |