| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,191 |
2,001 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
999 |
$74K |
| 99215 |
Prolong outpt/office vis |
85 |
79 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$1K |
| 90756 |
|
55 |
55 |
$1K |
| 82947 |
|
255 |
226 |
$1K |
| 96156 |
|
19 |
19 |
$941.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$704.39 |
| 36416 |
|
130 |
109 |
$450.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$397.10 |
| 96151 |
|
19 |
19 |
$174.40 |
| 4037F |
|
49 |
49 |
$54.50 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |