| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,188 |
3,458 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,651 |
2,133 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
87 |
69 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$514.82 |
| 90688 |
|
47 |
29 |
$330.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$138.71 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$59.30 |
| 3074F |
|
568 |
539 |
$0.00 |
| 3075F |
|
28 |
27 |
$0.00 |
| 3008F |
|
810 |
752 |
$0.00 |
| 3079F |
|
147 |
143 |
$0.00 |
| 3078F |
|
454 |
421 |
$0.00 |
| 99080 |
|
256 |
205 |
$0.00 |
| 3077F |
|
15 |
12 |
$0.00 |