| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,010 |
1,461 |
$383K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
817 |
537 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
975 |
564 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
236 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
104 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
52 |
$10K |
| 93268 |
|
43 |
43 |
$947.88 |
| 87390 |
|
69 |
69 |
$240.00 |
| 86803 |
|
166 |
166 |
$240.00 |
| 86480 |
|
206 |
206 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
54 |
$173.94 |
| 87391 |
|
95 |
95 |
$10.00 |
| 82962 |
|
65 |
43 |
$7.84 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
105 |
98 |
$0.00 |
| 82274 |
|
13 |
13 |
$0.00 |