| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
250 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
204 |
$5K |
| 90688 |
|
17 |
17 |
$401.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$325.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$26.76 |
| 3351F |
|
39 |
36 |
$0.00 |
| 1126F |
|
34 |
34 |
$0.00 |
| 3074F |
|
21 |
19 |
$0.00 |
| 1160F |
|
78 |
73 |
$0.00 |
| 3078F |
|
19 |
18 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |