| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
692 |
609 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
235 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$2K |
| 93000 |
|
117 |
102 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$373.29 |
| 96127 |
|
48 |
46 |
$136.79 |
| 99490 |
Ccm add 20min |
90 |
89 |
$0.00 |