| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
206 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
181 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
63 |
$794.49 |
| 81025 |
|
349 |
177 |
$624.63 |
| 90686 |
|
91 |
74 |
$474.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
156 |
44 |
$380.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$154.20 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$1.58 |
| 87806 |
|
249 |
92 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |