| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
503 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
533 |
508 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
161 |
102 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 90686 |
|
69 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$345.00 |
| 96127 |
|
92 |
92 |
$277.91 |
| 3078F |
|
80 |
54 |
$20.00 |
| 99406 |
|
22 |
22 |
$0.00 |