| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,837 |
5,896 |
$431K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
572 |
542 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
604 |
$27K |
| 99349 |
|
381 |
305 |
$13K |
| 99350 |
Prolong home eval add 15m |
13 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
25 |
$910.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$858.15 |
| 80305 |
|
46 |
37 |
$405.01 |
| 90656 |
|
20 |
18 |
$312.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
22 |
$207.20 |