| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,369 |
2,150 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,294 |
1,208 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
263 |
$39K |
| 99408 |
|
237 |
233 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99406 |
|
170 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$743.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
20 |
$476.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$293.13 |
| 90658 |
|
15 |
15 |
$51.08 |
| 90686 |
|
15 |
15 |
$0.00 |
| 3008F |
|
311 |
299 |
$0.00 |
| 3074F |
|
71 |
69 |
$0.00 |
| 3078F |
|
58 |
57 |
$0.00 |
| 96160 |
|
421 |
419 |
$0.00 |