| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,052 |
1,751 |
$69K |
| 36410 |
|
618 |
596 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
104 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
105 |
36 |
$3K |
| 90688 |
|
90 |
81 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$750.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$264.50 |
| 99442 |
|
29 |
29 |
$208.76 |
| 90658 |
|
13 |
13 |
$127.28 |
| 96127 |
|
33 |
31 |
$57.38 |