| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,119 |
962 |
$133K |
| 99215 |
Prolong outpt/office vis |
64 |
61 |
$13K |
| 99350 |
Prolong home eval add 15m |
45 |
44 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
71 |
$5K |
| 99384 |
|
25 |
25 |
$5K |
| 99383 |
|
16 |
16 |
$3K |
| 99349 |
|
15 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
46 |
$1K |
| 99348 |
|
12 |
12 |
$954.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$816.76 |
| 99173 |
|
12 |
12 |
$450.64 |
| 90688 |
|
26 |
25 |
$0.00 |