| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,294 |
$912.50 |
| 90688 |
|
29 |
29 |
$629.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,054 |
981 |
$162.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$4.46 |
| 3077F |
|
167 |
154 |
$0.00 |
| 3078F |
|
82 |
77 |
$0.00 |
| 99442 |
|
17 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| 3074F |
|
136 |
131 |
$0.00 |
| 3080F |
|
81 |
77 |
$0.00 |