| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,580 |
3,233 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,198 |
1,058 |
$38K |
| 96127 |
|
1,729 |
1,559 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
145 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
115 |
$2K |
| 92587 |
|
66 |
66 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
70 |
$630.00 |
| 90688 |
|
96 |
87 |
$474.64 |
| 90656 |
|
13 |
13 |
$241.00 |