| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,850 |
1,603 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,471 |
2,871 |
$109K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
417 |
401 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
110 |
$1K |
| 90656 |
|
45 |
45 |
$705.15 |
| 90686 |
|
72 |
69 |
$684.96 |
| 90756 |
|
53 |
53 |
$457.25 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$396.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$95.00 |