| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,374 |
1,167 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
534 |
$19K |
| 99199 |
Unlisted special service, procedure or report |
1,798 |
1,798 |
$6K |
| 90686 |
|
88 |
78 |
$728.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
35 |
$433.75 |
| 96127 |
|
136 |
105 |
$289.50 |
| 90832 |
Psychotherapy, 30 minutes with patient |
51 |
44 |
$59.32 |