| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
60 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
30 |
$959.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
19 |
$542.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
74 |
$538.98 |
| 90686 |
|
96 |
81 |
$469.41 |
| 96127 |
|
42 |
32 |
$99.91 |
| 99173 |
|
28 |
16 |
$69.30 |