| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,191 |
2,722 |
$277K |
| 99402 |
|
656 |
538 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
260 |
255 |
$26K |
| 99497 |
|
482 |
451 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
184 |
$17K |
| 96127 |
|
2,576 |
2,200 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
509 |
$6K |
| 90688 |
|
326 |
322 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
63 |
$694.80 |
| 90658 |
|
28 |
20 |
$372.78 |