| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,584 |
3,439 |
$339K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
353 |
$24K |
| 90756 |
|
196 |
195 |
$6K |
| 99215 |
Prolong outpt/office vis |
54 |
52 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
249 |
248 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 90661 |
|
28 |
28 |
$1K |
| 90686 |
|
31 |
31 |
$622.96 |
| 3008F |
|
13 |
13 |
$0.00 |