| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,822 |
1,421 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
381 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
148 |
145 |
$13K |
| 96127 |
|
386 |
383 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
109 |
$2K |
| 93000 |
|
73 |
70 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 90688 |
|
49 |
49 |
$874.16 |
| 90686 |
|
14 |
14 |
$247.39 |
| 90658 |
|
16 |
16 |
$211.52 |
| 3078F |
|
52 |
51 |
$0.00 |
| 3074F |
|
48 |
47 |
$0.00 |
| 3017F |
|
37 |
35 |
$0.00 |