| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,267 |
1,198 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
770 |
729 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,002 |
2,001 |
$62K |
| 90686 |
|
982 |
982 |
$31K |
| 0124A |
|
114 |
114 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
94 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 98967 |
|
39 |
39 |
$1K |
| 99051 |
|
47 |
47 |
$1K |
| 0112A |
|
12 |
12 |
$831.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
52 |
$802.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
16 |
$648.48 |
| 98966 |
|
24 |
23 |
$390.24 |
| 99441 |
|
13 |
13 |
$211.38 |
| 81002 |
|
38 |
38 |
$147.44 |
| 91311 |
|
28 |
28 |
$0.00 |
| 91312 |
|
115 |
115 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |