| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,496 |
1,185 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
413 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
125 |
97 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
44 |
$1K |
| 99383 |
|
14 |
12 |
$861.08 |
| 99442 |
|
45 |
31 |
$331.55 |
| 90630 |
|
23 |
19 |
$40.00 |
| 90686 |
|
79 |
62 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |