| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
232 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
118 |
$7K |
| 92552 |
|
163 |
162 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
207 |
167 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
77 |
$967.05 |
| 90686 |
|
49 |
49 |
$17.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |