| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,225 |
3,418 |
$396K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,812 |
4,423 |
$395K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
217 |
197 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
131 |
122 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
81 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
80 |
$1K |
| 90658 |
|
60 |
56 |
$1K |
| 96127 |
|
167 |
141 |
$769.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
69 |
$675.03 |
| 0001A |
|
15 |
14 |
$560.00 |
| 0002A |
|
14 |
13 |
$494.96 |
| 90688 |
|
26 |
25 |
$434.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
16 |
$245.60 |
| G0008 |
Administration of influenza virus vaccine |
22 |
19 |
$119.84 |
| 90657 |
|
24 |
13 |
$63.04 |