| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,871 |
2,988 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,146 |
1,528 |
$105K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
535 |
467 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,058 |
3,792 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,357 |
2,207 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
357 |
194 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
39 |
$3K |
| 90686 |
|
468 |
397 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90715 |
|
357 |
317 |
$1K |
| 90651 |
|
223 |
195 |
$385.00 |
| 90734 |
|
182 |
151 |
$242.00 |
| 90633 |
|
331 |
313 |
$126.50 |
| 90647 |
|
12 |
12 |
$60.50 |
| 90687 |
|
16 |
16 |
$60.50 |
| 90670 |
|
58 |
57 |
$33.00 |
| 90710 |
|
72 |
69 |
$22.00 |
| 90716 |
|
340 |
337 |
$10.00 |
| 90744 |
|
54 |
52 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| 99443 |
|
16 |
16 |
$0.00 |
| 90713 |
|
239 |
232 |
$0.00 |