| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,018 |
1,891 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
262 |
262 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
212 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
407 |
403 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$3K |
| 96127 |
|
788 |
787 |
$3K |
| 90674 |
|
104 |
104 |
$3K |
| 90686 |
|
22 |
22 |
$345.11 |
| 90661 |
|
13 |
13 |
$113.27 |
| 3074F |
|
457 |
447 |
$65.00 |
| 3078F |
|
136 |
133 |
$5.00 |