| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,046 |
6,426 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
354 |
353 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
36 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$2K |
| 90682 |
|
26 |
26 |
$858.94 |
| 90688 |
|
37 |
37 |
$565.51 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$555.84 |
| 99442 |
|
36 |
25 |
$359.32 |
| 90686 |
|
28 |
28 |
$315.57 |
| 3079F |
|
157 |
149 |
$4.00 |
| 3074F |
|
84 |
81 |
$1.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |