| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
373 |
348 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,456 |
1,332 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
158 |
$1K |
| 90686 |
|
51 |
51 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
97 |
$185.10 |
| 81025 |
|
15 |
14 |
$42.00 |
| 81003 |
|
14 |
14 |
$24.22 |