| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,736 |
2,727 |
$195K |
| 99349 |
|
1,025 |
1,008 |
$66K |
| 99205 |
Prolong outpt/office vis |
491 |
491 |
$51K |
| 99348 |
|
332 |
332 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
209 |
$10K |
| 90656 |
|
246 |
246 |
$7K |
| 90686 |
|
239 |
239 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
236 |
$7K |
| 99336 |
|
68 |
68 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
230 |
$1K |
| 99335 |
|
14 |
14 |
$621.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$220.50 |
| 86580 |
|
14 |
14 |
$58.80 |