| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
556 |
469 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
219 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$478.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$179.40 |
| 3008F |
|
83 |
62 |
$150.00 |
| 90686 |
|
15 |
15 |
$18.05 |