| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
572 |
536 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
276 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$5K |
| 93000 |
|
149 |
145 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$357.48 |
| 1036F |
|
110 |
88 |
$301.18 |
| 3008F |
|
68 |
55 |
$193.42 |
| 3078F |
|
15 |
13 |
$70.39 |
| 3074F |
|
14 |
12 |
$51.96 |
| 96127 |
|
13 |
12 |
$28.62 |