| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
699 |
663 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
347 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
17 |
$800.70 |
| 90686 |
|
12 |
12 |
$226.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$63.25 |
| 3078F |
|
14 |
13 |
$0.00 |
| 1111F |
|
56 |
53 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |