| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
140 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
175 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24 |
24 |
$988.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$354.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$0.00 |