| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,047 |
2,390 |
$307K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,677 |
1,343 |
$134K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
50 |
$7K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$3K |
| 90656 |
|
88 |
71 |
$1K |
| 90686 |
|
15 |
13 |
$246.36 |
| 93000 |
|
18 |
13 |
$241.50 |
| 99401 |
|
64 |
61 |
$130.00 |
| 3008F |
|
65 |
57 |
$118.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
26 |
$96.86 |
| 96127 |
|
49 |
47 |
$77.71 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
37 |
35 |
$46.88 |