| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
720 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
136 |
$4K |
| 96127 |
|
884 |
770 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$805.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$612.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
14 |
$384.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
16 |
$264.50 |
| 96160 |
|
123 |
88 |
$220.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$218.50 |
| 3079F |
|
64 |
58 |
$0.00 |
| 3075F |
|
55 |
49 |
$0.00 |
| 82962 |
|
54 |
48 |
$0.00 |
| 3074F |
|
69 |
62 |
$0.00 |
| 3077F |
|
55 |
44 |
$0.00 |
| 3078F |
|
99 |
88 |
$0.00 |