| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
400 |
$253.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
341 |
$253.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$163.60 |
| 90461 |
|
13 |
13 |
$88.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$40.90 |