| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,601 |
2,016 |
$144K |
| 99409 |
|
627 |
523 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
110 |
$5K |
| 99408 |
|
32 |
31 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90688 |
|
28 |
24 |
$399.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
22 |
$328.68 |
| 90656 |
|
19 |
15 |
$75.20 |