| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,548 |
2,285 |
$9K |
| 99383 |
|
27 |
27 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
293 |
268 |
$1K |
| 99384 |
|
20 |
20 |
$1K |
| 92551 |
|
263 |
262 |
$939.37 |
| 99382 |
|
28 |
28 |
$889.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$349.17 |
| 90656 |
|
31 |
31 |
$162.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
18 |
$150.00 |
| 99173 |
|
383 |
383 |
$148.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
59 |
$136.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$112.50 |
| 90715 |
|
12 |
12 |
$42.77 |
| 85018 |
|
56 |
56 |
$33.39 |
| 90686 |
|
26 |
26 |
$27.00 |
| 82962 |
|
279 |
260 |
$10.00 |
| 3077F |
|
191 |
180 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
97 |
$0.00 |
| 3078F |
|
621 |
597 |
$0.00 |
| 3075F |
|
154 |
151 |
$0.00 |
| 3074F |
|
634 |
608 |
$0.00 |
| 3008F |
|
1,177 |
1,093 |
$0.00 |
| 3079F |
|
335 |
322 |
$0.00 |
| 99000 |
|
83 |
81 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |