| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,909 |
1,835 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
604 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$4K |
| 90686 |
|
28 |
28 |
$440.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$424.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$103.18 |
| 81003 |
|
15 |
14 |
$13.48 |
| 3008F |
|
2,617 |
2,515 |
$0.00 |
| 1036F |
|
2,248 |
2,158 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 3074F |
|
64 |
64 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 1034F |
|
19 |
17 |
$0.00 |
| 3078F |
|
36 |
36 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |