| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,489 |
2,976 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,512 |
2,059 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
64 |
$5K |
| 90658 |
|
63 |
35 |
$716.75 |
| 3008F |
|
748 |
602 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
26 |
$0.00 |
| 1036F |
|
199 |
178 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 3017F |
|
51 |
43 |
$0.00 |
| 2001F |
|
22 |
21 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |