| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,586 |
1,361 |
$306K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
721 |
621 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
261 |
$61K |
| S5102 |
Day care services, adult; per diem |
328 |
75 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
311 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$3K |
| 99406 |
|
175 |
170 |
$3K |
| 90686 |
|
84 |
84 |
$1K |
| 90674 |
|
56 |
56 |
$1K |
| 82948 |
|
268 |
226 |
$1K |
| 90656 |
|
47 |
47 |
$752.00 |
| 90734 |
|
18 |
18 |
$709.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$708.29 |