| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,084 |
11,030 |
$248K |
| 90686 |
|
256 |
256 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
574 |
563 |
$5K |
| 90674 |
|
250 |
205 |
$5K |
| 90658 |
|
110 |
110 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
48 |
48 |
$2K |
| 99305 |
|
12 |
12 |
$619.08 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$306.50 |