| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
354 |
$24K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
112 |
102 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$965.51 |
| 90756 |
|
19 |
18 |
$479.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
18 |
$311.66 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |