| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,332 |
1,275 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,022 |
975 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
153 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$298.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
18 |
$253.80 |
| 90686 |
|
26 |
26 |
$249.62 |
| 3079F |
|
13 |
13 |
$120.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$95.25 |
| 3074F |
|
13 |
12 |
$90.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$26.00 |
| G9920 |
Screening performed and negative |
191 |
191 |
$0.00 |
| 90682 |
|
19 |
19 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |
| 3008F |
|
171 |
159 |
$0.00 |