| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,987 |
3,267 |
$305K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,109 |
3,225 |
$265K |
| 99215 |
Prolong outpt/office vis |
270 |
232 |
$28K |
| 96127 |
|
638 |
602 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
217 |
$6K |
| 90686 |
|
578 |
551 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$2K |
| 99442 |
|
34 |
26 |
$889.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
151 |
$42.00 |
| 3078F |
|
340 |
294 |
$0.00 |
| 3074F |
|
301 |
260 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |