| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,619 |
2,248 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,801 |
2,335 |
$125K |
| 90686 |
|
320 |
238 |
$6K |
| 96160 |
|
320 |
297 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90661 |
|
20 |
13 |
$649.84 |
| 90674 |
|
17 |
15 |
$516.48 |
| 3017F |
|
1,240 |
1,000 |
$0.00 |
| 1036F |
|
1,965 |
1,588 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
67 |
$0.00 |
| 4004F |
|
688 |
552 |
$0.00 |
| 2022F |
|
133 |
105 |
$0.00 |