| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,376 |
2,704 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
760 |
637 |
$40K |
| 99215 |
Prolong outpt/office vis |
471 |
358 |
$38K |
| 99401 |
|
369 |
273 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,164 |
868 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
505 |
333 |
$5K |
| 90686 |
|
279 |
218 |
$4K |
| 90674 |
|
82 |
71 |
$2K |
| 91322 |
|
40 |
20 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
20 |
14 |
$1K |
| 90480 |
|
40 |
20 |
$428.25 |
| 0124A |
|
44 |
15 |
$405.90 |
| 90733 |
|
43 |
32 |
$126.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
31 |
$17.80 |
| 90611 |
|
348 |
215 |
$0.66 |
| 91312 |
|
44 |
15 |
$0.00 |