| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,556 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
242 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
95 |
$1K |
| 99000 |
|
82 |
81 |
$201.04 |
| 90658 |
|
27 |
18 |
$162.00 |
| 99243 |
|
12 |
12 |
$1.20 |
| 90756 |
|
14 |
14 |
$0.00 |
| 4013F |
|
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
38 |
38 |
$0.00 |
| 81002 |
|
15 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3008F |
|
83 |
82 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |