| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,198 |
805 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,173 |
1,003 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
451 |
417 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
990 |
866 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
53 |
$5K |
| 90686 |
|
151 |
103 |
$3K |
| 81025 |
|
15 |
12 |
$77.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
55 |
$0.00 |