| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
114 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
159 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
247 |
$3K |
| 90688 |
|
36 |
36 |
$356.80 |
| 99173 |
|
13 |
13 |
$70.00 |
| 3008F |
|
136 |
136 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$0.00 |