| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,348 |
2,528 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,556 |
1,389 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
141 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
29 |
$1K |
| 0001A |
|
47 |
32 |
$1K |
| 0002A |
|
34 |
28 |
$978.40 |
| 0011A |
|
55 |
32 |
$932.90 |
| 0012A |
|
46 |
25 |
$810.52 |
| 90674 |
|
70 |
41 |
$741.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
27 |
$288.08 |
| 91301 |
|
165 |
91 |
$0.08 |
| 91300 |
|
161 |
108 |
$0.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
19 |
$0.00 |