| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,075 |
3,467 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,046 |
973 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
83 |
$2K |
| 99385 |
|
15 |
15 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 93000 |
|
39 |
39 |
$452.40 |
| 99443 |
|
12 |
12 |
$364.68 |