| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,063 |
6,066 |
$463K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
385 |
383 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
168 |
167 |
$19K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$3K |
| 99385 |
|
13 |
13 |
$1K |
| 80305 |
|
102 |
98 |
$897.26 |
| 99407 |
|
15 |
15 |
$312.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$311.69 |
| 99442 |
|
13 |
13 |
$299.47 |
| 90688 |
|
14 |
14 |
$206.64 |
| 82947 |
|
17 |
12 |
$40.78 |
| 99072 |
|
71 |
67 |
$8.00 |
| 99070 |
|
74 |
65 |
$0.00 |