| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,119 |
1,915 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,461 |
1,150 |
$58K |
| 99442 |
|
86 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
80 |
$1K |
| 99350 |
Prolong home eval add 15m |
54 |
38 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
54 |
$687.18 |