| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,499 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
497 |
439 |
$35K |
| 90686 |
|
271 |
204 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
56 |
$3K |
| 0124A |
|
38 |
27 |
$2K |
| 96127 |
|
93 |
71 |
$2K |
| 90656 |
|
38 |
25 |
$797.49 |
| 99000 |
|
15 |
14 |
$351.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$0.00 |