| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,609 |
4,013 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,829 |
4,145 |
$220K |
| 96127 |
|
251 |
240 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
20 |
$376.35 |
| 90674 |
|
23 |
20 |
$350.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$325.61 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$259.16 |
| 99173 |
|
171 |
140 |
$119.08 |
| 3078F |
|
71 |
53 |
$0.00 |
| 1159F |
|
20 |
12 |
$0.00 |
| 99072 |
|
50 |
44 |
$0.00 |
| 1160F |
|
20 |
12 |
$0.00 |
| 3008F |
|
213 |
157 |
$0.00 |
| 3074F |
|
79 |
58 |
$0.00 |