| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,361 |
6,241 |
$589K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,115 |
1,773 |
$128K |
| 90674 |
|
276 |
276 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
357 |
$3K |
| 0011A |
|
61 |
61 |
$2K |
| 0012A |
|
59 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 0013A |
|
47 |
47 |
$1K |
| 0064A |
|
13 |
13 |
$493.36 |
| 0134A |
|
14 |
14 |
$483.83 |
| 90661 |
|
13 |
13 |
$465.48 |
| 90656 |
|
20 |
20 |
$402.75 |
| 91301 |
|
180 |
179 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 91313 |
|
14 |
14 |
$0.00 |