| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
3,626 |
2,097 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
926 |
449 |
$82K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
270 |
259 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
459 |
430 |
$20K |
| 0500F |
|
23 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$225.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
14 |
$13.21 |