| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,679 |
2,571 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,866 |
1,559 |
$92K |
| 99233 |
Prolong inpt eval add15 m |
233 |
51 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$2K |
| 90756 |
|
94 |
84 |
$1K |
| 90674 |
|
63 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
98 |
$340.40 |
| 90661 |
|
18 |
17 |
$223.31 |