| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,012 |
1,627 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
764 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
12 |
$2K |
| 99442 |
|
43 |
25 |
$412.50 |
| 90688 |
|
43 |
35 |
$392.48 |
| 93000 |
|
13 |
13 |
$158.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$77.45 |
| 96160 |
|
27 |
18 |
$70.69 |