| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,540 |
3,347 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,406 |
1,332 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
241 |
235 |
$9K |
| 90686 |
|
246 |
245 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
85 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
102 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
145 |
145 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
62 |
$729.97 |
| 3074F |
|
69 |
67 |
$170.00 |
| 3079F |
|
31 |
29 |
$90.00 |
| 3078F |
|
28 |
27 |
$82.38 |
| 99173 |
|
60 |
52 |
$41.40 |
| 92551 |
|
48 |
40 |
$27.60 |
| 3008F |
|
1,908 |
1,665 |
$0.00 |