| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,059 |
878 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
361 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
162 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
66 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
100 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
54 |
$2K |
| 99344 |
|
25 |
18 |
$1K |
| 99307 |
|
556 |
263 |
$811.78 |
| 0011A |
|
23 |
22 |
$590.40 |
| 99348 |
|
16 |
14 |
$326.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
41 |
$283.54 |
| 90688 |
|
15 |
15 |
$267.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
19 |
$187.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
13 |
$80.62 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
47 |
25 |
$57.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$55.00 |