| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,171 |
1,095 |
$333K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
448 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
513 |
$15K |
| 99342 |
|
31 |
28 |
$11K |
| 90686 |
|
46 |
45 |
$858.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
32 |
$146.80 |
| 1159F |
|
1,329 |
1,327 |
$0.00 |
| 1090F |
|
1,341 |
1,339 |
$0.00 |
| 1160F |
|
1,329 |
1,327 |
$0.00 |
| 99490 |
Ccm add 20min |
61 |
61 |
$0.00 |
| 1158F |
|
151 |
151 |
$0.00 |
| 1101F |
|
1,252 |
1,250 |
$0.00 |
| 1125F |
|
562 |
562 |
$0.00 |
| 1126F |
|
746 |
744 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
94 |
94 |
$0.00 |
| 1170F |
|
1,341 |
1,339 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |