| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,037 |
4,724 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,371 |
3,110 |
$2K |
| 92552 |
|
163 |
163 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
736 |
734 |
$777.27 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
139 |
$565.91 |
| 83026 |
|
150 |
150 |
$267.99 |
| 99173 |
|
144 |
144 |
$266.48 |
| 81003 |
|
132 |
132 |
$220.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
16 |
$145.44 |
| 85018 |
|
12 |
12 |
$32.40 |
| 3008F |
|
3,663 |
3,645 |
$0.16 |
| 1160F |
|
2,168 |
2,168 |
$0.08 |
| 3074F |
|
2,333 |
2,320 |
$0.06 |
| 1158F |
|
2,156 |
2,155 |
$0.06 |
| 3078F |
|
2,228 |
2,207 |
$0.04 |
| 1036F |
|
2,101 |
2,094 |
$0.00 |
| 3075F |
|
163 |
160 |
$0.00 |
| 3079F |
|
283 |
282 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 99385 |
|
27 |
27 |
$0.00 |
| 4004F |
|
217 |
216 |
$0.00 |
| 3077F |
|
143 |
141 |
$0.00 |
| 90682 |
|
30 |
30 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |