| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,351 |
4,326 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,841 |
$58K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,208 |
1,206 |
$58K |
| 90674 |
|
831 |
828 |
$36K |
| 99401 |
|
2,085 |
1,142 |
$21K |
| 90658 |
|
482 |
482 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,487 |
1,483 |
$9K |
| 90686 |
|
124 |
123 |
$4K |
| 99429 |
|
13 |
13 |
$780.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$592.34 |
| 90656 |
|
18 |
18 |
$545.22 |