| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,693 |
3,681 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,059 |
835 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
94 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
193 |
$8K |
| 90670 |
|
55 |
32 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
169 |
$3K |
| 90756 |
|
122 |
85 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90688 |
|
110 |
69 |
$700.33 |
| 99442 |
|
60 |
50 |
$358.80 |
| 0012A |
|
66 |
58 |
$283.08 |
| 0031A |
|
95 |
89 |
$181.98 |
| 0011A |
|
55 |
50 |
$181.98 |
| 99441 |
|
16 |
14 |
$4.80 |
| 3079F |
|
87 |
83 |
$0.00 |
| 3074F |
|
173 |
155 |
$0.00 |
| 1111F |
|
63 |
59 |
$0.00 |
| 99385 |
|
19 |
19 |
$0.00 |
| 3078F |
|
51 |
51 |
$0.00 |