| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
640 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
127 |
$6K |
| 90686 |
|
82 |
74 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
60 |
$892.32 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$603.24 |
| 85610 |
|
15 |
12 |
$57.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$0.00 |