| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,882 |
4,634 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,466 |
1,206 |
$67K |
| 99000 |
|
2,110 |
1,981 |
$7K |
| 90658 |
|
200 |
189 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
143 |
129 |
$724.50 |
| 96151 |
|
18 |
18 |
$405.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$103.60 |
| 81002 |
|
15 |
14 |
$22.00 |