| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
58 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
52 |
$865.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$168.12 |
| 0500F |
|
37 |
34 |
$17.50 |
| 3008F |
|
52 |
47 |
$0.09 |
| 59430 |
|
14 |
12 |
$0.00 |
| 0503F |
|
17 |
14 |
$0.00 |
| 1160F |
|
52 |
47 |
$0.00 |
| 1159F |
|
52 |
47 |
$0.00 |