| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
106 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
103 |
$618.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
215 |
$395.07 |
| 99384 |
|
26 |
25 |
$93.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$90.70 |
| 99383 |
|
40 |
37 |
$85.32 |
| 99000 |
|
25 |
24 |
$42.85 |
| 80061 |
Lipid panel |
16 |
14 |
$33.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
13 |
$25.51 |
| 96161 |
|
71 |
59 |
$10.35 |
| 92551 |
|
14 |
14 |
$9.29 |
| 90686 |
|
23 |
13 |
$0.00 |
| 86480 |
|
28 |
27 |
$0.00 |
| 99173 |
|
33 |
33 |
$0.00 |