| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
366 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
408 |
$55K |
| 99215 |
Prolong outpt/office vis |
202 |
71 |
$42K |
| 90674 |
|
14 |
12 |
$43.03 |
| 80305 |
|
749 |
596 |
$27.68 |
| 99417 |
Prolong home eval add 15m |
122 |
44 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$0.00 |