| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,686 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
408 |
407 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
1,462 |
$3K |
| 99050 |
|
25 |
25 |
$246.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$117.00 |
| 3079F |
|
699 |
688 |
$0.00 |
| 3075F |
|
317 |
315 |
$0.00 |
| 3074F |
|
593 |
578 |
$0.00 |
| 3078F |
|
326 |
319 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |