| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,208 |
1,285 |
$132K |
| 93922 |
|
533 |
268 |
$41K |
| 69210 |
|
353 |
200 |
$12K |
| 93224 |
|
77 |
73 |
$9K |
| 93000 |
|
392 |
288 |
$8K |
| 93923 |
|
56 |
30 |
$2K |
| 93040 |
|
177 |
160 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
14 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
70 |
$722.54 |
| 81002 |
|
219 |
150 |
$651.50 |
| 99401 |
|
15 |
12 |
$386.31 |
| 90658 |
|
21 |
21 |
$345.16 |
| 82962 |
|
17 |
12 |
$38.15 |
| 94760 |
|
29 |
12 |
$0.71 |