| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,890 |
4,564 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,199 |
2,073 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
102 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68 |
68 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$253.60 |
| 82962 |
|
12 |
12 |
$16.22 |
| 3078F |
|
531 |
490 |
$0.00 |
| 1160F |
|
1,168 |
1,048 |
$0.00 |
| 3008F |
|
1,751 |
1,580 |
$0.00 |
| 3074F |
|
700 |
645 |
$0.00 |
| 1036F |
|
465 |
412 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |