| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
1,118 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
861 |
746 |
$44K |
| 99215 |
Prolong outpt/office vis |
146 |
144 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$2K |
| 90686 |
|
42 |
39 |
$525.71 |
| 81002 |
|
109 |
101 |
$316.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$149.09 |
| 81003 |
|
40 |
39 |
$67.28 |
| 96127 |
|
14 |
13 |
$41.86 |