| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
84 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
49 |
$737.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$688.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$560.00 |
| 99173 |
|
63 |
63 |
$297.86 |
| 92552 |
|
50 |
50 |
$246.04 |
| 90710 |
|
19 |
15 |
$0.00 |
| 90696 |
|
18 |
14 |
$0.00 |