| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,047 |
1,152 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
483 |
227 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
53 |
$4K |
| 90686 |
|
36 |
23 |
$648.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$442.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
16 |
$10.00 |