| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,668 |
1,190 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
58 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$3K |
| 90686 |
|
59 |
43 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
44 |
$1K |
| 99000 |
|
197 |
183 |
$498.82 |
| 81025 |
|
33 |
31 |
$214.92 |
| 81002 |
|
65 |
62 |
$118.18 |
| 0500F |
|
13 |
13 |
$0.00 |