| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
175 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
134 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
267 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 0071A |
|
44 |
43 |
$2K |
| 90686 |
|
186 |
185 |
$1K |
| 0002A |
|
20 |
20 |
$800.00 |
| 0001A |
|
19 |
18 |
$680.00 |
| 92551 |
|
135 |
131 |
$637.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
101 |
$315.03 |
| 90473 |
|
16 |
16 |
$14.52 |
| 36416 |
|
20 |
13 |
$0.00 |
| 91307 |
|
119 |
117 |
$0.00 |
| 91300 |
|
53 |
50 |
$0.00 |