| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,456 |
1,521 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,080 |
1,043 |
$56K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
103 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| Z1034 |
|
32 |
24 |
$2K |
| J3490 |
Unclassified drugs |
12 |
12 |
$924.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$309.27 |