| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,003 |
1,913 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
834 |
794 |
$34K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
437 |
392 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
110 |
$1K |
| 90686 |
|
68 |
68 |
$1K |
| 99442 |
|
125 |
105 |
$1K |
| 99443 |
|
65 |
55 |
$951.33 |
| 90688 |
|
47 |
47 |
$622.31 |
| 99441 |
|
40 |
30 |
$158.00 |
| 80305 |
|
12 |
12 |
$68.54 |
| 94760 |
|
64 |
62 |
$10.88 |