| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,311 |
3,889 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
862 |
831 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
78 |
$5K |
| 90674 |
|
92 |
92 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
153 |
$2K |
| 80305 |
|
315 |
253 |
$2K |
| 96127 |
|
425 |
424 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
220 |
211 |
$1K |
| 3078F |
|
254 |
249 |
$220.00 |
| 3074F |
|
475 |
464 |
$200.00 |
| 90656 |
|
12 |
12 |
$199.61 |
| 90688 |
|
15 |
15 |
$184.05 |
| 3079F |
|
12 |
12 |
$20.00 |
| 99499 |
|
106 |
103 |
$0.01 |
| 99080 |
|
1,965 |
1,866 |
$0.00 |