| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
98 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$815.40 |
| 90686 |
|
28 |
28 |
$439.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$93.02 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
47 |
47 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |