| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,188 |
994 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
251 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
538 |
438 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
49 |
$552.15 |
| 90686 |
|
41 |
41 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |