| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,777 |
6,583 |
$37.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,796 |
7,774 |
$24.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
573 |
536 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
117 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
139 |
122 |
$0.00 |