| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,206 |
1,108 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
1,271 |
$91K |
| 90686 |
|
59 |
59 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$612.54 |
| 90656 |
|
12 |
12 |
$225.29 |
| 3078F |
|
1,738 |
1,575 |
$0.00 |
| 3074F |
|
2,005 |
1,789 |
$0.00 |
| 3008F |
|
2,532 |
2,229 |
$0.00 |
| 3079F |
|
337 |
316 |
$0.00 |
| 3075F |
|
82 |
80 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
25 |
22 |
$0.00 |