| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
721 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
784 |
714 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
77 |
$6K |
| 99386 |
|
12 |
12 |
$1K |
| 94010 |
|
44 |
44 |
$1K |
| 99441 |
|
40 |
39 |
$729.95 |
| 90688 |
|
20 |
20 |
$419.00 |
| 96127 |
|
65 |
65 |
$190.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$100.00 |