| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
417 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
209 |
$25K |
| Q3014 |
Telehealth originating site facility fee |
300 |
228 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
42 |
$1K |
| 90688 |
|
65 |
63 |
$933.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
39 |
$895.44 |