| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,081 |
956 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
219 |
$17K |
| 59430 |
|
79 |
72 |
$16K |
| T1001 |
Nursing assessment / evaluation |
14 |
14 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$491.40 |
| 90715 |
|
12 |
12 |
$398.64 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13 |
13 |
$196.20 |