| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,424 |
1,190 |
$6K |
| 99442 |
|
582 |
515 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
213 |
$542.35 |
| 99443 |
|
76 |
66 |
$197.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$98.37 |
| 90686 |
|
17 |
17 |
$67.32 |
| 81002 |
|
327 |
287 |
$48.90 |
| 94760 |
|
2,129 |
1,657 |
$45.80 |
| 90656 |
|
18 |
18 |
$24.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$12.82 |
| 99000 |
|
327 |
289 |
$3.59 |
| 1036F |
|
2,441 |
1,856 |
$0.00 |
| 3074F |
|
2,070 |
1,645 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
31 |
$0.00 |
| 3079F |
|
200 |
174 |
$0.00 |
| 3080F |
|
18 |
15 |
$0.00 |
| 3078F |
|
1,781 |
1,446 |
$0.00 |
| 1160F |
|
1,675 |
1,326 |
$0.00 |
| 1159F |
|
377 |
317 |
$0.00 |
| 3077F |
|
30 |
26 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |