| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,260 |
3,830 |
$201K |
| 99429 |
|
210 |
210 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
318 |
$11K |
| 99215 |
Prolong outpt/office vis |
96 |
96 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
106 |
$5K |
| 90688 |
|
107 |
107 |
$3K |
| 96127 |
|
418 |
417 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$689.21 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$550.03 |
| 99233 |
Prolong inpt eval add15 m |
14 |
13 |
$469.45 |