| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
108 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
780 |
765 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$0.00 |
| 90686 |
|
63 |
63 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$0.00 |