| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,006 |
4,728 |
$336K |
| Q3014 |
Telehealth originating site facility fee |
1,728 |
1,222 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
347 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
181 |
$5K |
| 90688 |
|
88 |
63 |
$2K |
| 99397 |
|
12 |
12 |
$1K |
| 90756 |
|
22 |
14 |
$550.48 |
| 90686 |
|
38 |
15 |
$539.75 |
| 90658 |
|
25 |
17 |
$392.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
46 |
$70.00 |