| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,775 |
4,390 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,540 |
1,205 |
$59K |
| 93000 |
|
407 |
358 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0011A |
|
64 |
49 |
$800.00 |
| 0012A |
|
45 |
41 |
$720.00 |
| 90688 |
|
93 |
80 |
$225.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
76 |
$197.12 |
| 1159F |
|
1,606 |
1,434 |
$0.00 |
| 1160F |
|
1,617 |
1,444 |
$0.00 |
| 3077F |
|
235 |
217 |
$0.00 |
| 3078F |
|
634 |
579 |
$0.00 |
| 3074F |
|
909 |
832 |
$0.00 |
| 3079F |
|
607 |
541 |
$0.00 |
| 3044F |
|
467 |
412 |
$0.00 |
| 3080F |
|
98 |
93 |
$0.00 |
| 91301 |
|
57 |
44 |
$0.00 |
| 3075F |
|
134 |
119 |
$0.00 |